| NPI | 1821038316 |
|---|---|
| Doing Business As | DEACONESS MEDICAL GROUP - WEST |
| Entity Type | Organization |
| Authorized Contact | RICHARD M STIVERS Sr Vice President, CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2007-10-19 |