DR EVAN G BLACK LLC
Medical Practice in Salt Lake City, UT

License number
Utah 187597-1205
Category
Medical Practice
Type
Neurological Surgery
Owner
Name: JENNIFER DAWSON
Title: CLINIC MANAGER
Phone: (801) 408-5702
Address
Address 2
5323 Woodrow St # 120W SUITE 201, Salt Lake City, UT 84107
PO Box 95970, Riverton, UT 84095
National Provider ID: 1902074115
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about DR EVAN G BLACK LLC at bizstanding.com

DR. EVAN G. BLACK, LLC

370 E 9 Ave #106, Salt Lake City, UT 84103

Registration:
Jan 3, 2003
State ID:
5255944-0160
Business type:
LLC - Domestic
Agent:
Evan G Black,370 E 9 Ave #106, Salt Lake City, UT 84103 (Physical)

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