| NPI | 1619054145 |
|---|---|
| Doing Business As | WELBORN CLINIC GATEWAY IDTF |
| Entity Type | Organization |
| Authorized Contact | DAVID D CHRISTESON CEO 812-426-9228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 2085B0100X Radiology, Body Imaging |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-11-27 |