Dr. Callie G. Black, MD
Pediatrics in Denver, CO. Individual provider (NPI-1).
NPI number1679658322
StatusActive
Last updated in NPPESJun 17, 2021
Details
- NPI
- 1679658322
- Entity type
- Individual (NPI-1)
- Name
- Dr. Callie G. Black
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 25, 2006
- Certification date
- Jun 17, 2021
- Last updated
- Jun 17, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | DR.0042742 | CO | Yes |
| 2080P0204X | Pediatrics, Pediatric Emergency Medicine | 42742 | CO |
Practice location
10400 E Alameda AveDenver, CO 80247-5104
Phone 303-338-4545
Mailing address
10350 E Dakota AveDenver, CO 80247-1314
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