Richard E Black in Salt Lake City - Pediatric Surgery
Richard E Black - NPI 1316028103
Richard E Black is a Pediatric Surgery in Salt Lake City, Utah. Richard E Black practices all healthcare services and medical treatments related to Pediatric Surgery. The NPI Number for Richard E Black is 1316028103. The last update date is 2013-12-03.
Richard E Black's current location address is 100 Mario Capecchi Dr, Salt Lake City, Utah. You can contact this provider via phone number 8016622950. The mailing address for Richard E Black is 100 Mario Capecchi Dr, Salt Lake City, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Richard E Black |
|---|---|
| Address | 100 Mario Capecchi Dr, Salt Lake City, Utah |
| Phone Number | 8016622950 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1316028103 |
|---|---|
| Provider Enumeration Date | 2006-10-18 |
| Last Updated Date | 2013-12-03 |
Provider Mailing Address Detail
| Address | 100 Mario Capecchi Dr |
|---|---|
| City | Salt Lake City |
| State | Utah (UT) |
| Post Code | 841131103 |
| Phone Number | 8016622950 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Surgery |
|---|---|
| Taxonomy | 2086S0120X |
| Licence No | 1597211205 |
|
Definition: A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5415 | UT | -- |
Post Comment/ Review Below
What is the Richard E Black's unique identification number?
The Richard E Black has been assigned the NPI (National Provider Identifier) Number 1316028103 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Richard E Black is physically located?
The Richard E Black is physically situated at the following address: 100 Mario Capecchi Dr, Salt Lake City, UT, 841131103.
What is Richard E Black's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Richard E Black is Pediatric Surgery, and the taxonomy code that categorizes this field of expertise is 2086S0120X.
When did the Richard E Black receive its 1316028103?
The Richard E Black was issued its 1316028103 on 2006-10-18, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Richard E Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Richard E Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-12-03.