Individual provider · NPI-1

Dr. Roland Lee Black, D.C

Chiropractor · Dayton, OH

NPI number1922176759
StatusActive
Last updated in NPPESJul 8, 2007

Details

NPI
1922176759
Entity type
Individual (NPI-1)
Name
Dr. Roland Lee Black
Credential
D.C
Sex
Male
Sole proprietor
Yes
Enumeration date
Dec 1, 2006
Last updated
Jul 8, 2007

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X Chiropractor482OHYes

Practice location

1585 S Smithville Rd
Dayton, OH 45410-3242

Phone 937-253-1543 · Fax 937-253-5513

Mailing address

1585 S Smithville Rd
Dayton, OH 45410-3242

Phone 937-253-1543 · Fax 937-253-5513

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