NPI 1013282169

Christine E Black, MD

Practitioner Obstetrics & Gynecology Physician Pocatello, ID

Practice location

Address: 500 S 11th Ave STE 204, Pocatello, ID 83201-4878
Phone: (208) 232-3655
Mailing address: 500 S 11th Ave STE 400, Pocatello, ID 83201-4880

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence DR.0056998 (CO)

Other Obstetrics & Gynecology providers in Idaho →

Registry record

NPI: 1013282169
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Mar 2012
Record last updated: 19 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.