Search › Idaho › 207X00000X

Loren Black, MD MBA

NPI 1972008373 · on the registry since 2018

Practice

Address
6165 W Emerald St
Boise, ID 83704
Phone
(208) 302-3900
Fax
(208) 302-3955
Organisation at this address
Saint Alphonsus Regional Medical Center Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Additional practice sites

  • 325 9th Ave, Seattle, WA

Registry record

Primary taxonomy
207X00000X
207X00000X
Also registered as
207X00000X
207XX0801X
Licence states on file
WA, ID
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-07-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Idaho