Dr. IAN H BLACK MD
Individual Provider (NPI-1)
Active
Anesthesiology
Provider Information
- NPI Number
1134110109- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 400 W 16TH ST, PUEBLO, CO, 810032745
- Phone
- (719) 584-4045
Specialties & Taxonomies
Anesthesiology
Primary License: CO #DR.0065589
Anesthesiology
License: IN #01053867A
Anesthesiology
License: VT #042-0011556
Anesthesiology, Critical Care Medicine
License: VT #042-0011556
Anesthesiology, Pain Medicine
License: VT #042-0011556
All Addresses
MAILING
1801 16TH ST
GREELEY, CO, 806315154