Individual
CHRISTOPHER BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
450 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6835
(314) 991-0776
Mailing address
450 N NEW BALLAS RD, SAINT LOUIS, MO 63141-6835
(314) 991-0776
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
2004007968
MO
Other
Enumeration date
06/24/2008
Last updated
06/24/2008
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