| NPI | 1982409447 |
|---|---|
| Doing Business As | DEACONESS CLINIC - HENDERSON PODIATRY |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Enumeration Date | 2025-02-18 |
| Last Update Date | 2025-02-18 |