Richard E Black, MD - Salt Lake City, UT

Richard E Black, MD

Pediatric Surgery Physician in Salt Lake City, Utah

NPI 1316028103

Richard E Black is a Pediatric Surgery Physician based in Salt Lake City, UT and is specialized in Pediatric Surgery. Richard E Black practices in Salt Lake City, UT and has the professional credentials of MD. The NPI Number for Richard E Black is 1316028103 and holds a License No. 1597211205 (Utah).

The current practice location address for Richard E Black is 100 Mario Capecchi Dr, Salt Lake City, UT and can be reached out via phone at 801-662-2950.

Location: 100 Mario Capecchi Dr, Salt Lake City, UT, 84141-3035

NPI Number

1316028103

Provider Name

Richard E Black

Credential

Provider Entity Type

Individual

Gender

Male

Address

100 Mario Capecchi Dr, Salt Lake City, UT, 84141-3035

Phone Number

801-662-2950

Fax Number

Provider Enumeration Date

10/18/2006

Last Update Date

03/08/2024

Identifier	Type	State	Issuer
05415	05	UT

Address

100 Mario Capecchi Dr

City

Salt Lake City

State

Utah

Zip

84113-1103

Phone Number

801-662-2950

Fax Number

Address

100 Mario Capecchi Dr

City

Salt Lake City

State

Utah

Zip

84113-1103

Phone Number

801-662-2950

Fax Number

Type

Allopathic & Osteopathic Physicians

Classification

Surgery

Speciality

Pediatric Surgery

Taxonomy

2086S0120X

License No.

1597211205 (Utah)

Definition

A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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