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

MIKE A BLACK, CEPS, NREMT

Active

MIKE A BLACK, CEPS, NREMT is a Clinical Cardiac Electrophysiology healthcare provider located in SALT LAKE CITY, Utah. NPI 1942716998 is currently active in the NPPES registry. Verify at CMS.

Clinical Cardiac Electrophysiology · SALT LAKE CITY, UT

Registration Details

NPI Number
1942716998
Provider Type
Individual
Gender
Male
NPI Issued
Dec 28, 2017 (8.443201748654 yrs)
Last Updated
May 3, 2019
Licenses
E1160515
60434882 (WA)
161255 (DC)

Practice Information

Address
4989 S STATE ST UNIT 57768
SALT LAKE CITY, UT, 841575032
Browse UT providers · Browse ZIP 84157
Phone
9162171584
Fax
8667221584
Primary Specialty
Clinical Cardiac Electrophysiology
207RC0001X
Additional Specialty
Technician, Cardiology

Other Clinical Cardiac Electrophysiology Providers in SALT LAKE CITY, UT

Name Credential NPI
JOHN D DAY MD 1811965122
TRAVIS SCOTT WALL MD 1518048305
ROGER A. FREEDMAN MD 1790866580
DR. RAVI RANJAN MD 1467505206
RICHARD STEWART SHELTON M.D. 1770741886
NISCHALA NANNAPANENI M.D. 1992967335
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.