Organization
DEACONESS SPECIALTY PHYSICIANS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (SECRETARY-TREASURER)
(812) 450-3296
Entity
Organization
Contact information
Practice address
4600 W LLOYD EXPY, EVANSVILLE, IN 47712-6517
(812) 450-7246
(812) 450-4855
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
06/07/2023
Last updated
01/13/2025
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