| NPI | 1730344326 |
|---|---|
| Doing Business As | DEACONESS MEDICAL GROUP - PEDIATRICS GPC |
| Entity Type | Organization |
| Authorized Contact | RICHARD M STIVERS Sr Vice President, CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2008-07-23 |
| Last Update Date | 2008-07-23 |