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Organization
DEACONESS CLINIC, INC
Active
Organization
DEACONESS CLINIC, INC
Active
Other names
Deaconess Clinic I
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD M STIVERS (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
350 W COLUMBIA ST, STE 440, EVANSVILLE, IN 47710-1782
(812) 425-2461
(812) 424-7254
Mailing address
PO BOX 1510, EVANSVILLE, IN 47706-1510
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/18/2008
Last updated
11/04/2008
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