Individual
DR. SETH BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
501 S FRANKLIN ST, SUITE A, CUBA, MO 65453-1409
(573) 885-2003
(573) 885-2004
Mailing address
501 S FRANKLIN ST, SUITE A, CUBA, MO 65453-1409
(573) 885-2003
(573) 885-2004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2008001513
MO
Other
Enumeration date
02/07/2008
Last updated
02/10/2012
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