Mike Black, DPT

NPI 1326436007 · on the registry since 2015 · sole proprietor

Practice

Address: 12391 S 4000 W
#210
Riverton, UT 84096
Phone: (801) 446-0990
Organisation at this address: Apex Dental Draper Llc
Eric E. Martin, Dds, Pc
Granger Medical Clinic Inc
Christopher J. Jolles Md, Pc
Granger Medical Specialists Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 38

Registry record

Primary taxonomy: 225100000X
225100000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2015-01-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah