MR. ROBERT BLACK, ATC

Specialist/Technologist - Athletic Trainer

Active Individual
NPI: 1053301887

Practice Address

1001 E 17TH ST
Bloomington, IN 47408

Phone: (812) 856-2225

Specialties

Specialty Code Primary License
Specialist/Technologist - Athletic Trainer 2255A2300X Yes 36000062A (IN)

Frequently Asked Questions

NPI 1053301887 is the National Provider Identifier for MR. ROBERT BLACK, ATC, a Specialist/Technologist - Athletic Trainer provider located in Bloomington, IN. This NPI was enumerated on October 24, 2005.
MR. ROBERT BLACK, ATC practices at 1001 E 17TH ST, Bloomington, IN 47408.

Quick Facts

NPI
1053301887
Type
Individual
Enumerated
Oct 24, 2005
Last Updated
Jul 8, 2007

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