DALLAS BLACK

OTTUMWA, IA
NPI1760156665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LA2100X Nurse Practitioner Acute Care
(Licence: IA  H165013)
Enumeration Date2021-08-04
Last Update Date2022-01-21
Business Address
MR. DALLAS BLACK ARNP
1011 PENNSYLVANIA AVE
OTTUMWA, IA 52501-2129
Phone number: 641-682-7511
Mailing Address
MR. DALLAS BLACK ARNP
PO BOX 1179
OTTUMWA, IA 52501-7179
Phone number: 319-800-9600
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