Organization
NEW WELLSPRING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD ROBERTSON MD (OWNER/AUTHORIZED OFFICIAL)
(812) 376-0700
Entity
Organization
Contact information
Practice address
2400 NORTHPARK DR STE 20, COLUMBUS, IN 47203-4467
(812) 376-8625
Mailing address
2400 NORTHPARK DR STE 20, COLUMBUS, IN 47203-4467
Taxonomy
Speciality
Code
Description
License number
State
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Primary
—
—
Other
Enumeration date
09/20/2018
Last updated
09/20/2018
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