Individual
JAMES ROBERT BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1402 S GRAND BLVD, SAINT LOUIS, MO 63104-1004
(310) 363-3369
Mailing address
2 APPALOOSA LN, ROLLING HILLS, CA 90274-5006
(310) 363-3369
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
39239291
MO
Other
Enumeration date
05/22/2024
Last updated
05/22/2024
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