DR. BRENT BLACK, M.D.
Family Medicine
Active
Individual
NPI: 1710981279
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Preventive Medicine - Occupational Medicine | 2083X0100X | No | 170138-1205 (UT) |
| Family Medicine | 207Q00000X | Yes | 170138-1205 (UT) |
Frequently Asked Questions
NPI 1710981279 is the National Provider Identifier for DR. BRENT BLACK, M.D., a Family Medicine provider located in Springville, UT. This NPI was enumerated on June 11, 2005.
DR. BRENT BLACK, M.D. practices at 317 S 450 W UNIT D, Springville, UT 84663.
Quick Facts
- NPI
- 1710981279
- Type
- Individual
- Enumerated
- Jun 11, 2005
- Last Updated
- Feb 27, 2024
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