Organization
DAVID J. BLACK, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J. BLACK M.D. (OWNER)
(317) 787-6566
Entity
Organization
Contact information
Practice address
1500 ALBANY ST, SUITE 702, BEECH GROVE, IN 46107-1555
(317) 787-6566
(317) 782-6966
Mailing address
1500 ALBANY ST, SUITE 702, BEECH GROVE, IN 46107-1555
(317) 787-6566
(317) 782-6966
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
IN
Other
Enumeration date
05/22/2007
Last updated
11/06/2007
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