DEREK JOHN BLACK
Individual Provider (NPI-1)
Active
Case Manager/Care Coordinator
Provider Information
- NPI Number
1679231237- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 475 W 1465 N APT 103, LOGAN, UT, 843416619
- Phone
- (435) 851-3813
Specialties & Taxonomies
Case Manager/Care Coordinator
Primary