Organization
BOARD OF TRUSTEES OF WELBORN CLINIC
Active
Other names
Welborn Clinic IDTF Reo
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D CHRISTESON MD (CEO)
(812) 426-9228
Entity
Organization
Contact information
Practice address
3434 W STATE ROAD 66, ROCKPORT, IN 47635-9259
(812) 649-5061
Mailing address
3434 W STATE ROAD 66, ROCKPORT, IN 47635-9259
(812) 649-5061
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
02/02/2007
Last updated
11/29/2007
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