Individual
BRANDEE S BLACK
Active
Individual
BRANDEE S BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD207442
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
19841
HI
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
DR.0060743
CO
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD2015-0520
NM
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD61425913
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2231259
—
WA
Enumeration date
06/24/2010
Last updated
12/18/2023
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