Individual
MR. BRYAN BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BC-HIS, A.C.A.
Contact information
Practice address
101 E ALEX BELL RD STE 166, CENTERVILLE, OH 45459-2752
(937) 436-2358
Mailing address
101 E ALEX BELL RD STE 166, CENTERVILLE, OH 45459-2752
(937) 436-2358
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
2349
OH
Other
Enumeration date
01/05/2017
Last updated
01/05/2017
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