Individual
DR. BENJAMIN THOMAS BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
701 VETERANS UNITED DR, COLUMBIA, MO 65201-4236
(573) 884-6052
(573) 884-1151
Mailing address
PO BOX 843966, KANSAS CITY, MO 64184-3966
(573) 884-3300
(573) 884-0943
Taxonomy
Speciality
Code
Description
License number
State
2080P0006X
Developmental - Behavioral Pediatrics Physician
04-38259
KS
2080P0006X
Developmental - Behavioral Pediatrics Physician
Primary
2010040096
MO
Other
Enumeration date
06/24/2009
Last updated
03/23/2026
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