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Brandon R Black, MD
Diagnostic Radiology Physician in Pueblo, Colorado
NPI 1740249879

Brandon R Black is a Diagnostic Radiology Physician based in Pueblo, CO and is specialized in Diagnostic Radiology. Brandon R Black practices in Pueblo, CO and has the professional credentials of MD. The NPI Number for Brandon R Black is 1740249879 and holds a License No. 2001015984 (Colorado).

The current practice location address for Brandon R Black is 1619 N Greenwood St, Pueblo, CO and can be reached out via phone at 719-542-2167 and via fax at 719-542-0320.

Location: 1619 N Greenwood St, Pueblo, CO, 81003-2644
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1740249879
Provider Name
Brandon R Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1619 N Greenwood St, Pueblo, CO, 81003-2644
Phone Number
719-542-2167
Fax Number
719-542-0320
Provider Enumeration Date
03/18/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1619 N Greenwood St
City
Pueblo
State
Colorado
Zip
81003-2644
Phone Number
719-542-2167
Fax Number
719-542-0320
person
Provider Business Mailing Address Details
Address
1619 N Greenwood St
City
Pueblo
State
Colorado
Zip
81003-2644
Phone Number
719-542-2167
Fax Number
719-542-0320
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
2001015984 (Missouri)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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