Organization
BOARD OF TRUSTEES OF WELBORN CLINIC
Active
Organization
BOARD OF TRUSTEES OF WELBORN CLINIC
Active
Other names
Welborn Clinic Gateway IDTF
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID D CHRISTESON MD (CEO)
(812) 426-9228
Entity
Organization
Contact information
Practice address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9559
Mailing address
4233 GATEWAY BLVD, NEWBURGH, IN 47630-8900
(812) 426-9559
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
11/27/2007
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