Joseph T Black MD

NPI 1083798714 - Psychiatry & Neurology - 2084N0400X

NPI Details
NPI 1083798714
Gender Male
Enumeration Date 10/25/2006
Last Updated 10/22/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
4921 PARKVIEW PL
SAINT LOUIS MO, 63110-1032, US
Phone (314) 362-1408
Fax (314) 747-2444
Business Location
660 S EUCLID AVE
C B 8111
SAINT LOUIS MO, 63110-1010, US
Phone (314) 362-1408
Fax (314) 747-2444
Toxanomy
Taxonomy Code 2084N0400X
License State Missouri
License Number R6503
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According to our database, Dr. Joseph T Black MD NPI is 1083798714, taxonomy code is 2084N0400X and license number is R6503, license state is located at Missouri. Joseph T Black MD physically located at 4921 Parkview Pl, Saint Louis MO, 63110-1032. NPI Number Joseph T Black MD has the Individual type.

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1083798714 NPI number is provided on an as is basis without warranty of any kind. 1083798714 is maintained by the National Plan & Provider Enumeration System. The contents of Joseph T Black MD are for informational purposes only.