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Mike A Black, CEPS,NREMT
Clinical Cardiac Electrophysiology Physician in Salt Lake City, Utah
NPI 1942716998

Mike A Black is a Clinical Cardiac Electrophysiology Physician based in Murray, UT and is specialized in Clinical Cardiac Electrophysiology. Mike A Black practices in Salt Lake City, UT and has the professional credentials of CEPS,NREMT. The NPI Number for Mike A Black is 1942716998 and holds a License No. E1160515 (Utah).

The current practice location address for Mike A Black is 4989 S State St Unit 57768, Salt Lake City, UT and can be reached out via phone at 916-217-1584 and via fax at 866-722-1584.

Location: 4989 S State St Unit 57768, Salt Lake City, UT, 84157-0768
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942716998
Provider Name
Mike A Black
Credential
CEPS,NREMT
Provider Entity Type
Individual
Gender
Male
Address
4989 S State St Unit 57768, Salt Lake City, UT, 84157-0768
Phone Number
916-217-1584
Fax Number
866-722-1584
Provider Enumeration Date
12/28/2017
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4989 S State St Unit 57768
City
Salt Lake City
State
Utah
Zip
84157-5032
Phone Number
916-217-1584
Fax Number
866-722-1584
person
Provider Business Mailing Address Details
Address
4989 S State St Unit 57768
City
Salt Lake City
State
Utah
Zip
84157-5032
Phone Number
916-217-1584
Fax Number
866-722-1584
person
Provider's Taxonomy Details 1
Type
Emergency Medical Service Providers
Classification
Emergency Medical Technician, Basic
Speciality
-
Taxonomy
146N00000X
License No.
161255 (District of Columbia)
Definition
A Basic EMT is an individual trained and certified to perform basic life support treatment in medical emergencies based on individual state boards.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Clinical Cardiac Electrophysiology
Taxonomy
207RC0001X
License No.
60434882 (Washington)
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
person
Provider's Taxonomy Details 3
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Cardiology
Speciality
-
Taxonomy
246W00000X
License No.
E1160515 ()
Definition
An individual who has knowledge of specific techniques, instruments, and equipment required in performing specific cardiovascular/peripheral vascular diagnostic procedures.
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