Organization · Type 2 NPI

DR Evan G Black LLC

Neurological Surgery Physician · Murray, UT

NPI number 1902074115 Active

Practice location

5323 Woodrow St # 120W, Suite 201
Murray, UT 84107-5841

Fax (801) 261-4769

Mailing address

PO Box 95970
South Jordan, UT 84095-0970

Specialties and licenses

TaxonomyCodeLicense
Neurological Surgery Physician Primary 207T00000X187597-1205 (UT)

Neurological Surgery Physician: A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the opera…

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About NPI 1902074115

DR Evan G Black LLC's National Provider Identifier is 1902074115, issued on Feb 11, 2008. The primary taxonomy on file is Neurological Surgery Physician (207T00000X), and the practice location is in Murray, UT. The record was last updated on Feb 12, 2009.