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Organization
BLACK JONES HEALTHCARE, PC
Active
Organization
BLACK JONES HEALTHCARE, PC
Active
Other names
Good Shepherd Pediatrics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUDY KRISTINE BLACK MD (PRESIDENT)
(541) 659-3986
Entity
Organization
Contact information
Practice address
1873 WILLIAMS HWY STE 1B, GRANTS PASS, OR 97527-5843
(541) 234-8300
Mailing address
1873 WILLIAMS HWY STE 1B, GRANTS PASS, OR 97527-5843
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
05/11/2024
Last updated
05/11/2024
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