Organization
DEACONESS CLINIC INC.
Active
Other names
Deaconess Clinic II
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL A WATHEN (CFO)
(812) 450-3296
Entity
Organization
Contact information
Practice address
520 MARY STREET, SUITE 140, EVANSVILLE, IN 47710-1669
(812) 426-9411
(812) 426-9503
Mailing address
PO BOX 3868, EVANSVILLE, IN 47737-3868
(812) 426-9411
(812) 426-9503
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Enumeration date
03/30/2009
Last updated
08/10/2017
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