SearchUtah106H00000X

Brent Black

NPI 1679825756 · on the registry since 2012

Practice

Address
750 N 200 E
Provo, UT 84606
Phone
(435) 459-1526
Clinicians at this address
26

Registry record

Primary taxonomy
106H00000X
106H00000X
Sex
Male
Record last updated
2012-10-12

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