# BOARD OF TRUSTEES OF WELBORN CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Welborn Clinic Ambulatory Surgery Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306984174
- **Authorized official:** DAVID D CHRISTESON MD (CEO)
- **Authorized official phone:** (812) 426-6626

## Contact information

- **Practice address:** 421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
- **Practice address phone:** (812) 426-9400
- **Mailing address:** 421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
- **Mailing address phone:** (812) 426-9400

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | 008786 | IN | Yes |

## Other

- **Enumeration date:** 02/02/2007
- **Last updated:** 04/08/2008
