Search › Iowa › 363LA2100X
Dallas Black, ARNP
NPI 1760156665 · on the registry since 2021
Practice
- Address
- 1011 Pennsylvania Ave
Ottumwa, IA 52501 - Phone
- (641) 682-7511
- Organisation at this address
- Rchp-Ottumwa Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 363LA2100X
363LA2100X
- Licence states on file
- IA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-01-21
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 Iowa