Organization
DEACONESS CLINIC, INC.
Active
Other names
Deaconess Clinic - Jasper Allergy
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
251 S TRUMAN RD, JASPER, IN 47546-9768
(812) 479-3153
(812) 473-8166
Mailing address
PO BOX 3366, EVANSVILLE, IN 47732-3366
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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