FREDERICK J BLACK

ROSEBURG, OR
NPI1942343074
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: OR  MD10476)
Enumeration Date2007-02-15
Last Update Date2007-10-23
Business Address
-- FREDERICK J BLACK MD
2282 NW TROOST ST SUITE 103
ROSEBURG, OR 97470-6071
Phone number: 541-672-0497
Mailing Address
-- FREDERICK J BLACK MD
2282 NW TROOST ST SUITE 103
ROSEBURG, OR 97470-6071
Phone number: 541-672-0497
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