NPI 1235133679 · live from the CMS NPI Registry
David L Black, M.D.
Orthopaedic Surgery in Joplin, MO. National Provider Identifier 1235133679, active.
NPI record
| NPI | 1235133679 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 3105 Mcclelland Blvd, Joplin, MO 64804 |
| Practice phone | 417-781-2807 |
| Mailing address | Po Box 3810, Joplin, MO 64803 |
| Enumerated | June 13, 2005 |
| Last updated | March 20, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 0421272 (KS) |
| Orthopaedic Surgery | 207X00000X | 17973 (OK) |
| Orthopaedic Surgery primary | 207X00000X | R3P27 (MO) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.