| David J. Black, Md, Llc | |
|
1500 Albany St Suite 702 Beech Grove IN 46107-1555 | |
| (317) 787-6566 | |
| (317) 782-6966 |
| Full Name | David J. Black, Md, Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 1500 Albany St, Beech Grove, Indiana |
| Authorized Official Name and Position | David J. Black (OWNER) |
| Authorized Official Contact | 3177876566 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Black, Md, Llc 1500 Albany St Suite 702 Beech Grove IN 46107-1555 Ph: (317) 787-6566 | David J. Black, Md, Llc 1500 Albany St Suite 702 Beech Grove IN 46107-1555 Ph: (317) 787-6566 |
| NPI Number | 1891904322 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891904322 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (Indiana) | Primary |
Beech Grove Family Physcians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-786-9285 Fax: 317-781-2793 | |
Beech Grove Internal Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2030 Churchman Ave, Beech Grove, IN 46107 Phone: 317-781-2100 Fax: 317-781-2109 |