David Allen Black, PA

NPI #1801074794 in Greenfield, Iowa

Provider Information

NPI Number: 1801074794
Entity Type: Individual
Name: David Allen Black, PA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physician Assistant
Credential: PA
Enumeration Date: Feb 4, 2008
Last Updated: Sep 14, 2012

Practice Location

Address: 609 SE KENT ST
City: Greenfield
State: Iowa
ZIP Code: 50849-9454
Phone: (641) 743-2123

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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