Physician Assistant, Surgical
Mr. DAVID BLACK PAC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1427042092 · enumerated 2005-09-09 · record updated 2020-02-19. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Addresses and phones
- Practice location 4310 LONDONDERRY RD, SUITE 202, HARRISBURG, PA, 17109-5300 (717) 920-7664 Fax (717) 920-4361 Google Maps Apple Maps OpenStreetMap
- Mailing address 1700 S LINCOLN AVE, LEBANON, PA, 17042-7529 (717) 272-6621 Fax (717) 228-6156 Google Maps Apple Maps OpenStreetMap
Specialties
- Physician Assistant, Surgical 363AS0400X · Primary · License MA000813L PA
In this directory
Locations and evidence
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Practice location
HARRISBURG, PA, 171095300
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.