IndividualActive
Ryan Black, D.O.
NPI 1619024544 · Otolaryngology Physician · Gillette, WY
Provider details
- NPI number
- 1619024544
- Entity type
- Individual
- Primary specialty
- Otolaryngology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- License
- 14427A (WY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
469 Highway 50
Gillette, WY 82718-9330
Phone: (307) 387-9850
Fax: (307) 387-9890
Approximate (ZIP-level) locationGet directions
Mailing address
201 W Lakeway Rd Ste 1004
Gillette, WY 82718-6349
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2025-03-18
- Certified
- 2025-03-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.