CHRISTINE E BLACK

POCATELLO, ID
NPI1013282169
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207V00000X Obstetrics & Gynecology
(Licence: CO  DR.0056998)
Enumeration Date2012-03-21
Last Update Date2020-05-19
Business Address
CHRISTINE E BLACK MD
500 S 11TH AVE STE 204
POCATELLO, ID 83201-4878
Phone number: 208-232-3655
Mailing Address
CHRISTINE E BLACK MD
500 S 11TH AVE STE 400
POCATELLO, ID 83201-4880
Phone number: 208-232-7862
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