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Organization
DEACONESS SPECIALITY PHYSICIANS, INC
Active
Organization
DEACONESS SPECIALITY PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1413 N ELM ST STE 106, HENDERSON, KY 42420-2776
(270) 831-7937
(270) 831-7939
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
363AM0700X
Medical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
12/09/2021
Last updated
12/09/2021
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