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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRANDON R BLACK, M.D.

Active

Diagnostic Radiology · PUEBLO, CO

Registration Details

NPI Number
1740249879
Provider Type
Individual
Gender
Male
NPI Issued
Mar 18, 2006 (20.092622448659 yrs)
Last Updated
Feb 9, 2008
License
2001015984 (MO)

Practice Information

Address
1619 N GREENWOOD ST
SUITE 103
PUEBLO, CO, 810032644
Browse CO providers · Browse ZIP 81003
Phone
7195422167
Fax
7195420320
Primary Specialty
Diagnostic Radiology
2085R0202X

Other Diagnostic Radiology Providers in PUEBLO, CO

Name Credential NPI
MICHAEL E. BALL M.D. 1790767549
DANNY C BALLENGER M.D. 1962484717
WILLIAM J BUFKIN M.D. 1285616045
DR. MICHAEL J MCCOLLUM M.D. 1003891060
CONOR J HEANEY M.D. 1487629341
SCOTT L SMILEY MD 1629024591
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.