All Medicaid billing entities listing BLACK, MARSHALL (OWNER) as their authorized official in the NPPES registry.
| State | Entities | Total Paid |
|---|---|---|
| Idaho | 1 | $48K |
| # | Provider | Location | Specialty | Total Paid |
|---|---|---|---|---|
| 1 | ORTHOPRO OF LEWISTON INC | LEWISTON, ID | Prosthetic/Orthotic Supplier | $48K |