Stephanie Black PA-C
Physician Assistant in Canton, OH(View on Map)
Full Name
Stephanie Black PA-C
NPI Number
1083124051
NPI Type
Individual Provider
Gender
Female
Enumeration Date
10/04/2017
Specialties
(Taxonomies)Licenses
State
Ohio
License Number
50.005194RX
Contact
Information
Purpose
Mailing
Location
Address
1455 HARRISON AVE NW STE 105
1455 HARRISON AVE NW STE 105
City
Canton
Canton
State
OH
OH
Postal Code
44708-2609
44708-2609
Country
US
US
Telephone Number
N/A
(330) 453-9993
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/04/2017
Provider Address
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