Individual
DR. IAN H BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
400 W 16TH ST, PUEBLO, CO 81003-2745
(719) 584-4045
Mailing address
1801 16TH ST, GREELEY, CO 80631-5154
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01053867A
IN
207L00000X
Anesthesiology Physician
042-0011556
VT
207L00000X
Anesthesiology Physician
Primary
DR.0065589
CO
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
042-0011556
VT
207LP2900X
Pain Medicine (Anesthesiology) Physician
042-0011556
VT
Other
Enumeration date
10/31/2005
Last updated
06/05/2025
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