Mr. KRISTOPHER A. BLACK CRNA
Individual Provider (NPI-1)
Active
Nurse Anesthetist, Certified Registered
Provider Information
- NPI Number
1124265590- Provider Type
- Individual Provider (NPI-1)
- Credentials
- CRNA
- Status
- Active
Contact & Location
- Address
- 1008 MINNEQUA AVE OR/ANESTHESIOLOGY, PUEBLO, CO, 810043733
- Phone
- (719) 557-3824
- Fax
- (719) 557-3834
Specialties & Taxonomies
Nurse Anesthetist, Certified Registered
License: WY #47932
Nurse Anesthetist, Certified Registered
Primary License: CO #121197