Richard E Black, MD
NPI #1316028103 in Salt Lake City, Utah
Provider Information
- NPI Number
- 1316028103
- Entity Type
- Individual
- Name
- Richard E Black, MD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Surgery - Pediatric Surgery
- Credential
- MD
- Enumeration Date
- Oct 18, 2006
- Last Updated
- Dec 3, 2013
Practice Location
- Address
- 100 MARIO CAPECCHI DR
- City
- Salt Lake City
- State
- Utah
- ZIP Code
- 84113-1103
- Phone
- (801) 662-2950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Surgery - Pediatric Surgery — Pediatric Surgery |
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