Individual provider · Type 1 NPI
Charles Dewayne Black, DO
Emergency Medical Services (Emergency Medicine) Physician · Ardmore, OK
Practice location
1011 14th Ave NW, Er Dept.
Ardmore, OK 73401-1828
Fax (405) 749-4561
Mailing address
4401 W Memorial Rd, Suite 121
Oklahoma City, OK 73134-1785
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emergency Medical Services (Emergency Medicine) Physician Primary | 207PE0004X | 3023 (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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Other emergency medical services (emergency medicine) physician providers in Ardmore
About NPI 1891757860
Charles Dewayne Black, DO's National Provider Identifier is 1891757860, issued on Apr 5, 2006. The primary taxonomy on file is Emergency Medical Services (Emergency Medicine) Physician (207PE0004X), and the practice location is in Ardmore, OK. The record was last updated on Nov 9, 2007.