Individual
DR. ROLAND LEE BLACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C
Contact information
Practice address
1585 S SMITHVILLE RD, DAYTON, OH 45410-3242
(937) 253-1543
(937) 253-5513
Mailing address
1585 S SMITHVILLE RD, DAYTON, OH 45410-3242
(937) 253-1543
(937) 253-5513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
482
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000007157
ANTHEM
OH
01
—
172108394109
HUMANA
OH
Enumeration date
12/01/2006
Last updated
07/08/2007
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