SearchIdaho225100000X

Robert Black, PT

NPI 1457499428 · on the registry since 2007

Practice

Address
285 Vista Drive
Suite A
Pocatello, ID 83201
Phone
(208) 478-1488
Fax
(208) 478-1498
Organisation at this address
Bmh, Inc.
Sm Maloff Md Pc
Anesthesia Zzz Llc
Daniel Anesthesia Pc
Psychiatry-Ect, Pllc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
174400000X
Licence states on file
UT, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2008-08-20

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho