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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. You can also correspond with Richard E Black through the mailing address at PO BOX 413035, SALT LAKE CITY, UT - 84141-3035 (mailing address contact number: 801-213-3900).

Location: 100 Mario Capecchi Dr, Salt Lake City, UT, 84141-3035
person
Provider Profile Details
NPI Number
1316028103
Provider Name
Richard E Black
Credential
MD
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
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Provider's Legacy Identifiers
Identifier Type State Issuer
05415 05 UT
institution
Provider Business Practice Location Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-2950
Fax Number
person
Provider Business Mailing Address Details
Address
100 Mario Capecchi Dr
City
State
Zip
84113-1103
Phone Number
801-662-2950
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Pediatric Surgery
Taxonomy
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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