-- WILLIAM R BLACK -- MD
Individual Provider (NPI-1)
Active
Preventive Medicine, Occupational Medicine
Provider Information
- NPI Number
1326121211- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1313 S RANGE LINE RD, JOPLIN, MO, 648015588
- Phone
- (417) 623-2207
- Fax
- (417) 623-0342
Specialties & Taxonomies
Preventive Medicine, Occupational Medicine
Primary License: MO #106159