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Judy Black, MD
Pediatrics Physician in Grants Pass, Oregon
NPI 1770786667

Judy Black is a Pediatrics Physician based in Grants Pass, OR. Judy Black practices in Grants Pass, OR and has the professional credentials of MD. The NPI Number for Judy Black is 1770786667 and holds a License No. 036113715 (Oregon).

The current practice location address for Judy Black is 1873 Williams Hwy Ste 1B, Grants Pass, OR and can be reached out via phone at 541-916-5895 and via fax at 541-491-6002.

Location: 1873 Williams Hwy Ste 1B, Grants Pass, OR, 97527-5843
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1770786667
Provider Name
Judy Black
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1873 Williams Hwy Ste 1B, Grants Pass, OR, 97527-5843
Phone Number
541-916-5895
Fax Number
541-491-6002
Provider Enumeration Date
06/07/2007
Last Update Date
09/14/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
036113715 05 IL
500680833 05 OR
institution
Provider Business Practice Location Address Details
Address
1873 Williams Hwy Ste 1B
City
Grants Pass
State
Oregon
Zip
97527-5843
Phone Number
541-916-5895
Fax Number
541-491-6002
person
Provider Business Mailing Address Details
Address
1873 Williams Hwy Ste 1B
City
Grants Pass
State
Oregon
Zip
97527-5843
Phone Number
541-916-5895
Fax Number
541-491-6002
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Independent Medical Examiner
Speciality
-
Taxonomy
202C00000X
License No.
MD170104 (Oregon)
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Pediatrics
Speciality
-
Taxonomy
208000000X
License No.
036113715 (Illinois)
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
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