Individual
DR. DAVID J BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8 NORTH US 31, SUITE B, WHITELAND, IN 46184-1546
(317) 787-6566
(317) 888-6766
Mailing address
8 NORTH US 31, SUITE B, WHITELAND, IN 46184-1546
(317) 787-6566
(317) 888-6766
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
01034170
IN
207RG0100X
Gastroenterology Physician
Primary
01034170A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100217860
—
IN
05
—
100217860A
—
IN
Enumeration date
05/23/2007
Last updated
02/25/2022
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