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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