OrganizationActive
Pamela O Black MD PA
NPI 1093752545 · Physical Medicine & Rehabilitation Physician · Albuquerque, NM
Provider details
- NPI number
- 1093752545
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Timothy Jacobson, Ceo(505) 343-1711
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
3820 Commons Ave Ne
Albuquerque, NM 87109-5831
Phone: (505) 343-1711
Fax: (505) 343-1862
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 25206
Albuquerque, NM 87125-0206
Registry dates
- Enumerated
- 2006-06-01
- Last updated
- 2013-12-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.