NPI 1093752545

Pamela O Black MD PA

Organisation Physical Medicine & Rehabilitation Physician Albuquerque, NM

Practice location

Address: 3820 Commons Ave NE, Albuquerque, NM 87109-5831
Phone: (505) 343-1711
Fax: (505) 343-1862
Mailing address: PO Box 25206, Albuquerque, NM 87125-0206

Authorised official

Name: Timothy Jacobson
Title: Ceo
Phone: (505) 343-1711

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in New Mexico →

Registry record

NPI: 1093752545
Entity type: Organization
NPI issued: 1 Jun 2006
Record last updated: 13 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.