| NPI | 1093901910 |
|---|---|
| Doing Business As | WELBORN CLINIC GATEWAY DEACONESS RILEY |
| Entity Type | Organization |
| Authorized Contact | DAVID D. CHRISTESON CEO 812-426-9506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |