Search › Utah › 207RC0001X
Mike Black, CEPS, NREMT
NPI 1942716998 · on the registry since 2017
Practice
- Address
- 4989 S State St Unit 57768
Salt Lake City, UT 84157 - Phone
- (916) 217-1584
- Fax
- (866) 722-1584
Registry record
- Primary taxonomy
- 207RC0001X
207RC0001X
- Also registered as
- 146N00000X
246W00000X - Licence states on file
- WA, DC
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-03
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