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Dr. Jack C Blackstone, Jr., MD
Gynecology Physician in Owensboro, Kentucky
NPI 1912994583

Jack C Blackstone, Jr. is a Gynecology Physician based in Owensboro, KY and is specialized in Gynecology. Jack C Blackstone, Jr. practices in Owensboro, KY and has the professional credentials of MD. The NPI Number for Jack C Blackstone, Jr. is 1912994583 and holds a License No. 18142 (Kentucky).

The current practice location address for Jack C Blackstone, Jr. is 1000 Breckenridge St, Owensboro, KY and can be reached out via phone at 270-926-3700 and via fax at 270-926-2114.

Location: 1000 Breckenridge St, Owensboro, KY, 42303-0839
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Provider Profile Details
NPI Number
1912994583
Provider Name
Jack C Blackstone, Jr.
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1000 Breckenridge St, Owensboro, KY, 42303-0839
Phone Number
270-926-3700
Fax Number
270-926-2114
Provider Enumeration Date
09/29/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
64181423 05 KY
institution
Provider Business Practice Location Address Details
Address
1000 Breckenridge St
City
State
Zip
42303-0839
Phone Number
270-926-3700
Fax Number
270-926-2114
person
Provider Business Mailing Address Details
Address
1000 Breckenridge St
City
State
Zip
42303-0839
Phone Number
270-926-3700
Fax Number
270-926-2114
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
Gynecology
Taxonomy
License No.
18142 (Kentucky)
Definition
Definition to come...
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