| NPI | 1972165421 |
|---|---|
| Doing Business As | DEACONESS CLINIC - HENDERSON MOB |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2019-07-05 |
| Last Update Date | 2019-07-05 |