SHIRA BLACK

DAVENPORT, IA
NPI1336467489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207L00000X Anesthesiology
(Licence: IA  DO-04709)
Additional Taxonomies207LC0200X Anesthesiology, Critical Care Medicine
(Licence: IA  DO-04709)
Enumeration Date2010-05-13
Last Update Date2021-04-28
Business Address
SHIRA BLACK
1227 E RUSHOLME ST
DAVENPORT, IA 52803-2459
Phone number: 563-324-8160
Mailing Address
SHIRA BLACK
PO BOX 1245
BETTENDORF, IA 52722-0021
Phone number: 563-324-8160