Individual provider · Type 1 NPI

Carl M. Black, MD

Diagnostic Radiology Physician · Provo, UT

NPI number 1891737094 Active

Practice location

1034 N 500 W
Provo, UT 84604-3380

Call (801) 357-4423 Map

Fax (801) 357-7626

Mailing address

PO Box 30180
Salt Lake City, UT 84130-0180

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X4737479-1205 (UT)
Nuclear Radiology Physician 2085N0904X4737479-1205 (UT)

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 1891737094

Carl M. Black, MD's National Provider Identifier is 1891737094, issued on Jun 12, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Provo, UT. The record was last updated on Jun 5, 2026.