| NPI | 1609914480 |
|---|---|
| Doing Business As | WELBORN CLINIC IDTF EASTSIDE |
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTESON CEO 812-426-6626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2007-11-27 |