# BOARD OF TRUSTEES OF WELBORN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Welborn Clinic Urology
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033203021
- **Authorized official:** DAVID CHRISTESON M.D. (CEO)
- **Authorized official phone:** (812) 426-6626

## Contact information

- **Practice address:** 421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
- **Practice address phone:** (812) 426-9855
- **Mailing address:** 421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
- **Mailing address phone:** (812) 426-9855

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | — | NULL | Yes |
| 208800000X | Urology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 08/22/2020