FRED BLACK MD PC

Family Medicine

Active Organization
NPI: 1710970330

Practice Address

2282 NW TROOST ST
SUITE 103
Roseburg, OR 97471

Phone: (541) 672-0497

Specialties

Specialty Code Primary License
Family Medicine 207Q00000X Yes MD10476 (OR)

Frequently Asked Questions

NPI 1710970330 is the National Provider Identifier for FRED BLACK MD PC, a Family Medicine provider located in Roseburg, OR. This NPI was enumerated on August 30, 2005.

Quick Facts

NPI
1710970330
Type
Organization
Enumerated
Aug 30, 2005
Last Updated
Nov 21, 2011

Nearby Providers