Individual provider · Type 1 NPI

Richard E. Black, MD

Pediatric Surgery Physician · Salt Lake City, UT

NPI number 1316028103 Active

Practice location

100 Mario Capecchi Dr
Salt Lake City, UT 84113-1103

Call (801) 662-2950 Map

Mailing address

PO Box 413035
Salt Lake City, UT 84141-3035

Specialties and licenses

TaxonomyCodeLicense
Pediatric Surgery Physician Primary 2086S0120X1597211205 (UT)

Pediatric Surgery Physician: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.

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About NPI 1316028103

Richard E. Black, MD's National Provider Identifier is 1316028103, issued on Oct 18, 2006. The primary taxonomy on file is Pediatric Surgery Physician (2086S0120X), and the practice location is in Salt Lake City, UT. The record was last updated on Dec 3, 2013.