Marshall Black, CPO

Individual Active
NPI 1154357242
Orthotist Lewiston, ID

Marshall Black, CPO holds NPI 1154357242, with a primary taxonomy of orthotist and a practice location in Lewiston, ID. The number was issued on June 23, 2006 and the NPPES record was last updated on November 2, 2007. The record lists 2 taxonomy codes.

This record hasn't been updated in NPPES since 2007. Details may be out of date.

Taxonomies and licenses

TaxonomyCodeLicense
Orthotist Primary 222Z00000X Not listed
Prosthetist 224P00000X Not listed

Practice location

823 16th Ave
Lewiston, ID 83501-3733
Phone: (208) 798-0200

Local context

Active NPPES records list 1 provider with orthotist as the primary taxonomy within 25 miles of this practice location's ZIP code.

The same primary taxonomy is listed by 4 in Idaho and 1,337 nationwide.

These are counts from NPPES records, not a ranking or recommendation. Distances are measured between ZIP code centers, not street addresses.

Record history

Name on record
Marshall R Black
Status
Active
NPI issued
Last updated in NPPES

Is this your record? Updates are made through NPPES, the official National Plan and Provider Enumeration System.

NPPES data as of · Source: CMS NPPES

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