Individual provider · Type 1 NPI

Brandon R. Black, MD

Diagnostic Radiology Physician · Pueblo, CO

NPI number 1740249879 Active

Practice location

1619 N Greenwood St, Suite 103
Pueblo, CO 81003-2644

Fax (719) 542-0320

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X2001015984 (MO)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1740249879

Brandon R. Black, MD's National Provider Identifier is 1740249879, issued on Mar 18, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Pueblo, CO. The record was last updated on Feb 9, 2008.