MR. TIMOTHY BLACK, PA
Physician Assistant - Surgical
Active
Individual
NPI: 1730167271
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | No | PA60650228 (WA) |
| Physician Assistant - Surgical | 363AS0400X | Yes | - |
Frequently Asked Questions
NPI 1730167271 is the National Provider Identifier for MR. TIMOTHY BLACK, PA, a Physician Assistant - Surgical provider located in Vancouver, WA. This NPI was enumerated on January 5, 2006.
MR. TIMOTHY BLACK, PA practices at 200 NE MOTHER JOSEPH PL, SUITE 110, Vancouver, WA 98664.
Quick Facts
- NPI
- 1730167271
- Type
- Individual
- Enumerated
- Jan 5, 2006
- Last Updated
- Aug 7, 2018
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