Individual
DR. DEREK ROBERT BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3060 DAYTON XENIA RD, SUITE A, BEAVERCREEK, OH 45434-6308
(937) 427-2225
(937) 431-1722
Mailing address
3060 DAYTON XENIA RD, SUITE A, BEAVERCREEK, OH 45434-6308
(937) 427-2225
(937) 431-1722
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2227
OH
171100000X
Acupuncturist
—
—
Other
Enumeration date
10/06/2006
Last updated
10/24/2022
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