IndividualActive
John Black
NPI 1497375570 · General Practice Physician · Offutt Afb, NE
Provider details
- NPI number
- 1497375570
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 34164 (NE)
Practice location
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Phone: (402) 232-9431
Fax: (402) 294-9138
Mailing address
2501 Capehart Rd
Offutt Afb, NE 68113-1043
Registry dates
- Enumerated
- 2020-04-20
- Last updated
- 2022-04-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.