Charles Brad Black, MD

NPI #1356407902 in Libby, Montana

Provider Information

NPI Number: 1356407902
Entity Type: Individual
Name: Charles Brad Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Family Medicine
Credential: MD
Enumeration Date: Dec 28, 2006
Last Updated: Nov 18, 2013

Practice Location

Address: 214 E 3RD ST
City: Libby
State: Montana
ZIP Code: 59923-2056
Phone: (406) 293-9274

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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