Serena Star Black, MD

NPI #1508007675 in Springfield, Oregon

Provider Information

NPI Number: 1508007675
Entity Type: Individual
Name: Serena Star Black, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Pediatrics
Credential: MD
Enumeration Date: Mar 18, 2009
Last Updated: Jul 13, 2011

Practice Location

Address: 3377 RIVERBEND DR
City: Springfield
State: Oregon
ZIP Code: 97477-8803
Phone: (541) 222-8500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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