Individual
DR. WILLIAM L BLACK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1650 COCHRANE CIR, FORT CARSON, CO 80913-4603
(719) 526-7844
(719) 526-7894
Mailing address
12 HEATHER DR, COLORADO SPRINGS, CO 80906-3114
(719) 475-2685
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25019
CO
Other
Enumeration date
01/28/2006
Last updated
07/08/2007
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