DR. Brent Dale Black, M.D.

NPI #1710981279 in Springville, Utah

Provider Information

NPI Number
1710981279
Entity Type
Individual
Name
DR. Brent Dale Black, M.D.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Family Medicine
Credential
M.D.
Enumeration Date
Jun 11, 2005
Last Updated
Feb 27, 2024

Practice Location

Address
317 S 450 W UNIT D
State
Utah
ZIP Code
84663-5838
Phone
(435) 830-3772

Specialties & Taxonomy Codes

Specialty
Preventive Medicine - Occupational MedicineOccupational Medicine
Family Medicine

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