Jack Blackstone, Jr., M.D

NPI 1912994583 · on the registry since 2005

Practice

Address: 1000 Breckenridge St
Suite 200
Owensboro, KY 42303
Phone: (270) 926-3700
Fax: (270) 926-2114
Organisation at this address: Owensboro Health Inc
Brett C Davis Md Pllc
Radiation Oncology Psc
Choice Care Associates, Psc
West Kentucky Dermatology, Psc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 45

Registry record

Primary taxonomy: 207VG0400X
207VG0400X
Licence states on file: KY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2010-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Kentucky