Provider Demographics
NPI:1396004768
Name:BLACK, AARON KRISTOFFER (MD)
Entity Type:Individual
Prefix:
First Name:AARON
Middle Name:KRISTOFFER
Last Name:BLACK
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:660 GOLDEN RIDGE RD STE 250
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-9541
Mailing Address - Country:US
Mailing Address - Phone:303-274-7321
Mailing Address - Fax:720-497-6741
Practice Address - Street 1:265 TANGLEWOOD LANE
Practice Address - Street 2:SUITE E-1
Practice Address - City:SILVERTHORNE
Practice Address - State:CO
Practice Address - Zip Code:80498
Practice Address - Country:US
Practice Address - Phone:303-274-7354
Practice Address - Fax:720-497-6781
Is Sole Proprietor?:No
Enumeration Date:2012-05-04
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CODR.0060705207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery