Individual
DR. JAMES F BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
312 E MAIN ST, SUITE 2300 MARSHALLTOWN ANESTHESIOLOGISTS PLC, MARSHALLTOWN, IA 50158-1888
(641) 752-7149
(641) 752-6320
Mailing address
312 E MAIN ST, SUITE 2300 MARSHALLTOWN ANESTHESIOLOGISTS PLC, MARSHALLTOWN, IA 50158-1888
(641) 752-7149
(641) 752-6320
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
21955
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
171199
—
IA
01
—
41906
WELLMARK BCBS OF IA
IA
01
—
A005
TRIWEST
—
01
—
IA0101
JOHN DEERE HEALTH
IA
Enumeration date
11/18/2005
Last updated
07/08/2007
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