CARL M BLACK MD
Individual Provider (NPI-1)
Active
Radiology, Diagnostic Radiology
Provider Information
- NPI Number
1891737094- Provider Type
- Individual Provider (NPI-1)
- Credentials
- MD
- Status
- Active
Contact & Location
- Address
- 1034 N 500 W, PROVO, UT, 846043380
- Phone
- (801) 357-4423
- Fax
- (801) 357-7626
Specialties & Taxonomies
Radiology, Diagnostic Radiology
Primary License: UT #4737479-1205
Unknown
License: UT #4737479-1205