Individual
DR. CHARLES B BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Mailing address
1010 THREE SPRINGS BLVD, DURANGO, CO 81301-8296
(970) 247-4311
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
42300
WI
208600000X
Surgery Physician
DR.0051621
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
33341000
—
WI
Enumeration date
08/05/2006
Last updated
03/07/2023
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