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Organization

BOARD OF TRUSTEES OF WELBORN CLINIC

Active
Other names
Welborn Clinic
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID D CHRISTESON M.D. (CEO)
(812) 426-6626
Entity
Organization

Contact information

Practice address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-6626
Mailing address
421 CHESTNUT ST, EVANSVILLE, IN 47713-1227
(812) 426-6626

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
152W00000X
Optometrist
207K00000X
Allergy & Immunology Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207W00000X
Ophthalmology Physician
207X00000X
Orthopaedic Surgery Physician
208000000X
Pediatrics Physician
208800000X
Urology Physician
213E00000X
Podiatrist
261Q00000X
Clinic/Center
Primary
363L00000X
Nurse Practitioner
363LA2100X
Acute Care Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100240870
IN
Enumeration date
08/03/2006
Last updated
02/05/2009
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