Individual
DAVID ALLEN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-2123
Mailing address
609 SE KENT ST, GREENFIELD, IA 50849-9454
(641) 743-2123
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
001856
IA
Other
Enumeration date
02/04/2008
Last updated
09/14/2012
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