| NPI | 1528107018 |
|---|---|
| Doing Business As | WELBORN CLINIC DME EASTSIDE |
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTESON CEO 812-426-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2008-03-03 |