David Michael Black, MD | |
625 9th Ave, Ste 210, Longview, WA 98632-2465 | |
(360) 501-3400 | |
(360) 423-6862 |
Full Name | David Michael Black |
---|---|
Gender | Male |
Speciality | Orthopaedic Surgery - Hand Surgery |
Location | 625 9th Ave, Longview, Washington |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245205228 | NPI | - | NPPES |
1014117 | Medicaid | WA | |
178434 | Medicaid | OR |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207X00000X | Orthopaedic Surgery | MD00023497 (Washington) | Secondary |
207XS0106X | Orthopaedic Surgery - Hand Surgery | MD00024397 (Washington) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Michael Black, MD 625 9th Ave, Ste 210, Longview, WA 98632-2465 Ph: (360) 501-3400 | David Michael Black, MD 625 9th Ave, Ste 210, Longview, WA 98632-2465 Ph: (360) 501-3400 |
Dr. Tony C Lin, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-5682 | |
William Taylor Turner, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Dr. Peter Kung, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Anthony J Lauder, MD Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Jon Edward Kretzler, M.D. Orthopedic Surgery Medicare: Accepting Medicare Assignments Practice Location: 625 9th Ave, Ste 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 | |
Bruce Gragg Blackstone, M.D. Orthopedic Surgery Medicare: Medicare Enrolled Practice Location: 625 9th Ave, Suite 210, Longview, WA 98632 Phone: 360-501-3400 Fax: 360-423-6862 |