NPI | 1548308505 |
---|---|
Doing Business As | WELBORN CLINIC IDTF WESTSIDE |
Entity Type | Organization |
Authorized Contact | DAVID D CHRISTESTON CEO 812-426-6626 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2007-02-02 |
Last Update Date | 2007-11-27 |