# BOARD OF TRUSTEES OF WELBORN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Welborn Clinic Gateway Deaconess Riley
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093901910
- **Authorized official:** DAVID D. CHRISTESON MD (CEO)
- **Authorized official phone:** (812) 426-9506

## Contact information

- **Practice address:** 4133 GATEWAY BLVD, SUITE 220, NEWBURGH, IN 47630-8950
- **Practice address phone:** (812) 426-9459
- **Practice address fax:** (812) 463-7888
- **Mailing address:** 4133 GATEWAY BLVD., SUITE 220, NEWBURGH, IN 47630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207K00000X | Allergy & Immunology Physician | — | NULL | Yes |
| 207K00000X | Allergy & Immunology Physician | — | — | Yes |

## Other

- **Enumeration date:** 09/25/2007
- **Last updated:** 09/25/2007
