NPI | 1013274471 |
---|---|
Doing Business As | DEACONESS CLINIC I |
Entity Type | Organization |
Authorized Contact | CHERYL A WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
363L00000X Nurse Practitioner | |
363A00000X Physician Assistant | |
Enumeration Date | 2012-04-23 |
Last Update Date | 2020-10-14 |