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
515 READ ST, EVANSVILLE, IN 47710-1739
(812) 450-6966
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0801X
Orthopaedic Trauma Physician
—
—
Other
Enumeration date
06/29/2022
Last updated
06/29/2022
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