Individual provider · Type 1 NPI

John Black Viii

Specialist · Modesto, CA

NPI number 1417014176 Active

Practice location

1601 Yosemite Blvd, Suite A
Modesto, CA 95354-2800

Call (209) 341-1824 Map

Fax (209) 523-1296

Mailing address

5336 Avenue D
Modesto, CA 95358-9445

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1417014176

John Black Viii's National Provider Identifier is 1417014176, issued on Jan 2, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.