SearchColorado2251S0007X

Douglass Black, PT, DPT, ATC, CSCS

NPI 1710025085 · on the registry since 2007

Practice

Address
1650 Cochrane Cir Bldg 7503
Fort Carson, CO 80913
Phone
(719) 526-7120
Fax
(719) 526-7072
Organisation at this address
Usa Meddac
Denver Vamc
Ach Evans-Carson
Evans Army Community Hospital
Evans Army Community Hospital
Inferred from a shared address, not stated in the registry.
Clinicians at this address
491

Registry record

Primary taxonomy
2251S0007X
2251S0007X
Also registered as
2255A2300X
Licence states on file
CO
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-06

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 Colorado