Organization
DEACONESS CARE INTEGRATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CHRISTESON M.D. (EXECUTIVE DIRECTOR)
(812) 426-6626
Entity
Organization
Contact information
Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 492-5157
(812) 858-4513
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 492-5157
(812) 858-4513
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
A1221
IN
Other
Enumeration date
03/22/2012
Last updated
03/22/2012
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