Individual provider · Type 1 NPI

Robert Lee Black Iii, PA-C

Medical Physician Assistant · Meadville, PA

NPI number 1861985657 Active

Practice location

640 Alden St
Meadville, PA 16335-2348

Call (814) 373-5255 Map

Fax (814) 373-5259

Mailing address

1034 Grove St
Meadville, PA 16335-2945

Other practice locations

  • 18201 Conneaut Lake Rd, Meadville, PA 16335-3757 · (814) 333-5061
  • 406 W Oak St, Titusville, PA 16354-1499 · (814) 827-9770

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700XNone listed
Physician Assistant 363A00000XNone listed

Medical Physician Assistant: Definition to come...

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About NPI 1861985657

Robert Lee Black Iii, PA-C's National Provider Identifier is 1861985657, issued on Jun 7, 2018. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Meadville, PA. The record was last updated on Apr 1, 2025.