HomeNPI Verification

NPI Verification

National Provider Identifier: 1306943188

Fredric Lee Black, DO

Individual Provider

Credentials

DO

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

PO BOX 6002

GRAND FORKS, ND 582066002

Phone: 701-780-5000

NPI Enumeration Date

September 20, 2006

NPI Number

1306943188

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
Fredric Black, DO - NPI 1306943188 | Provider Verification | HormoneMap