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Individual

DR. DANE ALEXANDER BLACK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
55 CENTENNIAL BLVD, CHILLICOTHE, OH 45601-1187
(740) 779-4000
Mailing address
272 HOSPITAL RD, CHILLICOTHE, OH 45601-9031
(740) 779-4000

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
34.013915
OH
390200000X
Student in an Organized Health Care Education/Training Program
58.007899
OH

Other

Enumeration date
06/01/2016
Last updated
12/31/2020
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