MR. DARRYLL BLACK, PA-C

Physician Assistant

Active Individual
NPI: 1679735138

Practice Address

88 MDG
4881 SUGAR MAPLE DR
Wright-patterson Afb, OH 45433

Phone: (937) 257-6569

Specialties

Specialty Code Primary License
Physician Assistant 363A00000X Yes 10002023A (IN)
Physician Assistant - Surgical 363AS0400X No MA053346 (PA)

Frequently Asked Questions

NPI 1679735138 is the National Provider Identifier for MR. DARRYLL BLACK, PA-C, a Physician Assistant provider located in Wright-patterson Afb, OH. This NPI was enumerated on June 26, 2008.
MR. DARRYLL BLACK, PA-C practices at 88 MDG, 4881 SUGAR MAPLE DR, Wright-patterson Afb, OH 45433.

Quick Facts

NPI
1679735138
Type
Individual
Enumerated
Jun 26, 2008
Last Updated
Apr 11, 2018

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