KRISTOPHER A. BLACK

PUEBLO, CO
NPI1124265590
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: CO  121197)
Additional Taxonomies367500000X Nurse Anesthetist, Certified Registered
(Licence: WY  47932)
Enumeration Date2009-01-07
Last Update Date2021-07-08
Business Address
Mr. KRISTOPHER A. BLACK CRNA
1008 MINNEQUA AVE OR/ANESTHESIOLOGY
PUEBLO, CO 81004-3733
Phone number: 719-557-3824
Mailing Address
Mr. KRISTOPHER A. BLACK CRNA
PO BOX 1155 ATTN AQREVA
BILLINGS, MT 59103-1155
Phone number: 719-557-3824
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