Individual
DR. RYAN DUANE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
469 HIGHWAY 50, GILLETTE, WY 82718-9330
(307) 387-9850
(307) 387-9890
Mailing address
201 W LAKEWAY RD STE 1004, GILLETTE, WY 82718-6349
(307) 387-9850
(307) 387-9890
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
14427A
WY
207YX0602X
Otolaryngic Allergy Physician
14427A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
208D00000X
TAXONOMY CODE
OK
Enumeration date
01/04/2007
Last updated
03/18/2025
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