Black-Davis, Pamela K

Black-Davis, Pamela K is an individual health care provider with primary practice located at 1628 N Alvernon Way , Tucson AZ 85712-3321. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Black-Davis, Pamela K can be contacted via phone (520) 321-3566.

Contact Information

Primary practice address
1628 N Alvernon Way Tucson AZ 85712-3321
Fax: (520) 325-8616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27184 Arizona

Profile Details

NPI number 1528048808
LBN Legal business name Black-Davis, Pamela K
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 20th, 2006
Last updated Sep 9th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528048808 NPPES
Arizona MEDICAID 291394

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