CHARLES BRAD BLACK

LIBBY, MT
NPI1356407902
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: MT  4055)
Enumeration Date2006-12-28
Last Update Date2013-11-18
Business Address
CHARLES BRAD BLACK MD
214 E 3RD ST
LIBBY, MT 59923-2056
Phone number: 406-293-9274
Mailing Address
CHARLES BRAD BLACK MD
214 E 3RD ST
LIBBY, MT 59923-2056
Phone number: 406-293-9274
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