PAMELA O BLACK MD P.A. DBA QUADRA HEALTH INSTITUTE NPI 1336543115

NPI Information

PAMELA O BLACK MD, P.A., DBA QUADRA HEALTH INSTITUTE is a medical physician assistant in Albuquerque, NM. PAMELA O BLACK MD, P.A., DBA QUADRA HEALTH INSTITUTE NPI is 1336543115. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3820 COMMONS AVE NE # M
ALBUQUERQUE, NM
ZIP 87109-831
Phone: (505) 923-4401

The provider's authorized official is Pamela O Black .
The authorized official title is Md, P.a Dba Quadra Health Institue and has the following contact phone number (505) 923-4401.

The enumeration date for this NPI number is 10/22/2014 and was last updated on 10/22/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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