NPI | 1295480333 |
---|---|
Doing Business As | DEACONESS CLINIC NEURO HENDERSON |
Entity Type | Organization |
Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2022-02-17 |
Last Update Date | 2022-04-13 |