NPI | 1134725898 |
---|---|
Doing Business As | DEACONESS CLINIC - MOB 6 |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Additional Taxonomies | 207Q00000X Family Medicine |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LA2100X Nurse Practitioner, Acute Care | |
Enumeration Date | 2020-12-08 |
Last Update Date | 2024-11-07 |