Scott Allen Black, RD
NPI #1720284706 in Lackland a F B, Texas
Provider Information
- NPI Number
- 1720284706
- Entity Type
- Individual
- Name
- Scott Allen Black, RD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Dietitian, Registered
- Credential
- RD
- Enumeration Date
- Jun 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 2200 BERGQUIST DR STE 1
- City
- Lackland a F B
- State
- Texas
- ZIP Code
- 78236-9908
- Phone
- (210) 292-6707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dietitian, Registered |
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