-- RICHARD E BLACK MD ⚕️ Utah 1316028103

NPI	1316028103
Entity Type	Individual
Gender	Male
Sole Proprietor ?	No
Primary Taxonomy	2086S0120X Surgery, Pediatric Surgery (Licence: UT 1597211205)
Enumeration Date	2006-10-18
Last Update Date	2013-12-03

-- RICHARD E BLACK MD

100 MARIO CAPECCHI DR

SALT LAKE CITY, UT 84113-1103

Phone number: 801-662-2950

-- RICHARD E BLACK MD

PO BOX 413035

SALT LAKE CITY, UT 84141-3035

Phone number: 801-213-3900