NPI | 1063211365 |
---|---|
Doing Business As | DEACONESS CLINIC - JASPER ALLERGY |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207K00000X Allergy & Immunology |
Enumeration Date | 2025-03-10 |
Last Update Date | 2025-03-10 |