DR. Randall A Black, D.O.

NPI #1922028083 in Nampa, Idaho

Provider Information

NPI Number: 1922028083
Entity Type: Individual
Name: DR. Randall A Black, D.O.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Anesthesiology
Credential: D.O.
Enumeration Date: Jul 20, 2006
Last Updated: Jan 17, 2008

Practice Location

Address: 1512 12TH AVE RD
Address 2: ANESTHESIOLOGY CONSULTANTS OF IDAHO
City: Nampa
State: Idaho
ZIP Code: 83686-6008
Phone: (208) 571-9043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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