EVAN GEORGE BLACK

MURRAY, UT
NPI1346260247
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084N0400X Psychiatry & Neurology Neurology
(Licence: OR  MD205738)
Additional Taxonomies2084N0400X Psychiatry & Neurology Neurology
(Licence: PA  MD476184)
2084N0400X Psychiatry & Neurology Neurology
(Licence: UT  187597-1205)
2084N0400X Psychiatry & Neurology Neurology
(Licence: NH  21619)
2084N0400X Psychiatry & Neurology Neurology
(Licence: MT  99622)
2084N0400X Psychiatry & Neurology Neurology
(Licence: GA  89191)
Enumeration Date2006-07-20
Last Update Date2023-01-03
Business Address
DR. EVAN GEORGE BLACK M.D.
5323 WOODROW ST #201
MURRAY, UT 84107-5841
Phone number: 801-261-4711
Mailing Address
DR. EVAN GEORGE BLACK M.D.
5323 WOODROW ST #201
MURRAY, UT 84107-5841
Phone number: 801-261-4711