Ross R Black II MD

NPI 1609883313 - Family Medicine - 207Q00000X

NPI Details
NPI 1609883313
Gender Male
Enumeration Date 08/02/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
265 PORTAGE TRAIL EXT W
SUITE 200
CUYAHOGA FALLS OH, 44223-3613, US
Phone (330) 928-3111
Fax (330) 928-2843
Business Location
265 PORTAGE TRAIL EXT W
SUITE 200
CUYAHOGA FALLS OH, 44223-3613, US
Phone (330) 928-3111
Fax (330) 928-2843
Toxanomy
Taxonomy Code 207Q00000X
License State Ohio
License Number 35036057B
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According to our database, Ross R Black II MD NPI is 1609883313, taxonomy code is 207Q00000X and license number is 35036057B, license state is located at Ohio. Ross R Black II MD physically located at 265 Portage Trail Ext W, Cuyahoga Falls OH, 44223-3613. NPI Number Ross R Black II MD has the Individual type.

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1609883313 NPI number is provided on an as is basis without warranty of any kind. 1609883313 is maintained by the National Plan & Provider Enumeration System. The contents of Ross R Black II MD are for informational purposes only.