person
Carl M Black, MD
Diagnostic Radiology Physician in Provo, Utah
NPI 1891737094

Carl M Black is a Diagnostic Radiology Physician based in Orem, UT and is specialized in Diagnostic Radiology. Carl M Black practices in Provo, UT and has the professional credentials of MD. The NPI Number for Carl M Black is 1891737094 and holds a License No. 4737479-1205 (Utah).

The current practice location address for Carl M Black is 1034 N 500 W, Provo, UT and can be reached out via phone at 801-373-7850.

Location: 1034 N 500 W, Provo, UT, 84057-3746
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Provider Profile Details
NPI Number
1891737094
Provider Name
Carl M Black
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1034 N 500 W, Provo, UT, 84057-3746
Phone Number
801-373-7850
Fax Number
Provider Enumeration Date
06/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
870284448CB1 01 UT EMIA
47374791204001 01 UT BLUE CROSS
666798 01 UT DMBA
107008883101 01 UT IHC
institution
Provider Business Practice Location Address Details
Address
1034 N 500 W
City
State
Zip
84604-3380
Phone Number
801-373-7850
Fax Number
person
Provider Business Mailing Address Details
Address
1034 N 500 W
City
State
Zip
84604-3380
Phone Number
801-373-7850
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Nuclear Radiology
Taxonomy
License No.
4737479-1205 (Utah)
Definition
A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
4737479-1205 (Utah)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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