| NPI | 1386492569 |
|---|---|
| Doing Business As | GOOD SHEPHERD PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | JUDY KRISTINE BLACK President 541-659-3986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2024-05-11 |
| Last Update Date | 2024-05-11 |