Organization
DEACONESS SPECIALTY 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
600 W 13TH ST, JASPER, IN 47546-1881
(812) 996-5781
(812) 996-0150
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6879
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
208800000X
Urology Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/14/2025
Last updated
05/20/2025
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