| NPI | 1114099645 |
|---|---|
| Doing Business As | WELBORN CLINIC GATEWAY |
| Entity Type | Organization |
| Authorized Contact | DAVID D CHRISTESON CEO 812-426-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-13 |
| Last Update Date | 2008-03-03 |