Organization
DEACONESS SPECIALTY PHYSICIANS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERYL ANNETTE WATHEN (SECRETARY-TREASURER)
(812) 450-3296
Entity
Organization
Contact information
Practice address
1306 MAPLE ST, ELDORADO, IL 62930-1662
(812) 464-9133
(812) 450-6029
Mailing address
PO BOX 1230, EVANSVILLE, IN 47706-1230
(812) 450-6815
(812) 450-6822
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
11/03/2023
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