Individual
DR. LEWIS ADAMSON BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1478 EAST HIGHWAY 162, MONTEZUMA CREEK, UT 84534
(435) 651-3700
(435) 678-0608
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3700
(435) 678-0608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4723
CO
111N00000X
Chiropractor
Primary
7693068-1202
UT
Other
Enumeration date
12/08/2006
Last updated
03/07/2022
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