Individual provider · Type 1 NPI

Jeffrey Lane Black

Emergency Medical Services (Emergency Medicine) Physician · Tulsa, OK

NPI number 1700957990 Active

Practice location

1717 S Utica Ave Ste A
Tulsa, OK 74104-5346

Call (918) 748-7557 Map

Fax (918) 748-7514

Mailing address

1515 N Harvard Ave, Ste E
Tulsa, OK 74115-4957

Specialties and licenses

TaxonomyCodeLicense
Emergency Medical Services (Emergency Medicine) Physician Primary 207PE0004X16468 (OK)

Emergency Medical Services (Emergency Medicine) Physician: An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

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About NPI 1700957990

Jeffrey Lane Black's National Provider Identifier is 1700957990, issued on Nov 11, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Tulsa, OK. The record was last updated on Apr 13, 2010.