| Richard E Black, MD | |
|
100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 | |
| (801) 662-2950 | |
| Not Available |
| Full Name | Richard E Black |
|---|---|
| Gender | Male |
| Speciality | Surgery - Pediatric Surgery |
| Location | 100 Mario Capecchi Dr, Salt Lake City, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316028103 | NPI | - | NPPES |
| 05415 | Medicaid | UT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0120X | Surgery - Pediatric Surgery | 1597211205 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Richard E Black, MD Po Box 413035, Salt Lake City, UT 84141-3035 Ph: (801) 213-3900 | Richard E Black, MD 100 Mario Capecchi Dr, Salt Lake City, UT 84113-1103 Ph: (801) 662-2950 |
Dr. Gregory Lawrence Livers, M.D. Surgery Medicare: Not Enrolled in Medicare Practice Location: 129 F St, Salt Lake City, UT 84103 Phone: 801-364-3091 | |
Dr. Melanie Ann Dance, M.D. Surgery Medicare: Accepting Medicare Assignments Practice Location: 1250 E 3900 S, Salt Lake City, UT 84124 Phone: 801-265-2000 | |
Alexander Schurman, Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Kaohinani Joseph Longwolf, M.D. Surgery Medicare: Medicare Enrolled Practice Location: 30 N 1900 E Rm 3c344, Salt Lake City, UT 84132 Phone: 801-213-2598 | |
Marisol Z. Monzon, MD Surgery Medicare: Medicare Enrolled Practice Location: 30 N Mario Capecchi Dr Rm 4s100, Salt Lake City, UT 84112 Phone: 801-581-2121 | |
Dr. Charles David Richards, MD Surgery Medicare: Not Enrolled in Medicare Practice Location: 1391 E Farm Hill Dr, Salt Lake City, UT 84117 Phone: 801-272-6859 | |
Dr. Teresa Reading, MD Surgery Medicare: Accepting Medicare Assignments Practice Location: 324 10th Ave, #100, Salt Lake City, UT 84103 Phone: 801-408-7660 Fax: 801-408-7650 |