Individual
DR. FRANK DUGGER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 W WASHINGTON ST, MAJOR HOSPITAL, SHELBYVILLE, IN 46176
(317) 398-5275
Mailing address
5366 LAVA LANE, INDIANAPOLIS, IN 46237-3042
(317) 782-0111
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
22678
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01022678D
CDS CERT
IN
05
—
200164090
—
IN
01
—
BB5105766
BNDD
IN
Enumeration date
07/05/2006
Last updated
07/08/2007
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