Organization
DEACONESS SPECIALITY 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
1004 E ILLINOIS ST, PETERSBURG, IN 47567-8068
(812) 354-8280
Mailing address
PO BOX 632111, CINCINNATI, OH 45263-2111
(812) 450-6815
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
Other
Enumeration date
05/08/2026
Last updated
05/08/2026
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