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Alexandra Black
Foot & Ankle Surgery Podiatrist in Newark, Ohio
NPI 1669978664

Alexandra Black is a Foot & Ankle Surgery Podiatrist based in Newark, OH and is specialized in Foot & Ankle Surgery. Alexandra Black practices in Newark, OH. The NPI Number for Alexandra Black is 1669978664 and holds a License No. 36.003993 (Ohio).

The current practice location address for Alexandra Black is 1920 Tamarack Road, Newark, OH and can be reached out via phone at 740-344-8286.

Location: 1920 Tamarack Road, Newark, OH, 43055
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1669978664
Provider Name
Alexandra Black
Credential
Provider Entity Type
Individual
Gender
Female
Address
1920 Tamarack Road, Newark, OH, 43055
Phone Number
740-344-8286
Fax Number
Provider Enumeration Date
03/30/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0444104 05 OH
institution
Provider Business Practice Location Address Details
Address
1920 Tamarack Road
City
Newark
State
Ohio
Zip
43055
Phone Number
740-344-8286
Fax Number
person
Provider Business Mailing Address Details
Address
1920 Tamarack Road
City
Newark
State
Ohio
Zip
43055
Phone Number
740-344-8286
Fax Number
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
213ES0103X
License No.
36.003993 (Ohio)
Definition
Definition to come...
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