Marshall R Black, CPO
Marshall R Black, CPO is an Orthotist in Lewiston, Idaho. Practices as a sole proprietor. Registered with an NPI since 2006.
- In the registry since
- 2006
- Specialties on file
- 2
Practice location Address checks out
823 16th AveLewiston, ID 83501-3733
Phone: (208) 798-0200
Fax: (208) 798-0201
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Orthotist (primary) | Taxonomy 222Z00000X |
|---|---|
| Prosthetist | Taxonomy 224P00000X |
Record details
| NPI number | 1154357242 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CPO |
| Sole proprietor | Yes |
| NPI enumerated | June 23, 2006 |
| Last updated in NPPES | November 2, 2007 |
Other providers in Lewiston
-
Joseph Thornton, LMPO
801 Bryden Ave, Lewiston, ID 83501-4927 · (208) 798-4605