DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FRED BLACK MD PC

Active Organization

FRED BLACK MD PC is a Family Medicine organization located in ROSEBURG, Oregon. NPI 1710970330 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · ROSEBURG, OR

Registration Details

NPI Number
1710970330
Provider Type
Organization
NPI Issued
Aug 30, 2005 (20.938889101452 yrs)
Last Updated
Nov 21, 2011
License
MD10476 (OR)

Practice Information

Address
2282 NW TROOST ST
SUITE 103
ROSEBURG, OR, 974716071
Browse OR providers · Browse ZIP 97471
Phone
5416720497
Fax
5419572663
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Organizations in ROSEBURG, OR

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.