| NPI | 1912175803 |
|---|---|
| Doing Business As | DEACONESS MEDICAL GROUP HENDERSON I |
| Entity Type | Organization |
| Authorized Contact | RICHARD M STIVERS Sr Vice President, CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2008-02-14 |
| Last Update Date | 2008-02-14 |