Board of Trustees of Welborn Clinic
Organization Active NPI Diagnostic Radiology Physician · Evansville, IN
NPI 1609914480 · NPPES record last updated Nov 27, 2007
Key facts
- NPI
- 1609914480
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- Legal business name
- BOARD OF TRUSTEES OF WELBORN CLINIC
- Practice address
- 4411 Washington Ave
Evansville, IN 47714-0890 - Phone
- (812) 474-7123
- NPI assigned
- Feb 2, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. David Christeson, MD
- Title
- Ceo
- Phone
- (812) 426-6626
National Provider Directory
Locations
4411 Washington Ave
Evansville, IN 47714
Phone (812) 437-7246
421 Chestnut St
Evansville, IN 47713
Phone (812) 426-6645
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician |
2085B0100X | |||
| Diagnostic Radiology Physician |
2085R0202X | Yes |
Addresses
Primary practice location
4411 Washington Ave
Evansville, IN 47714-0890
Mailing address
4411 Washington Ave
Evansville, IN 47714-0890
Phone (812) 474-7123
Other names
- Welborn Clinic IDTF Eastside
Other providers in Evansville, IN
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
- Board of Trustees of Welborn Clinic
- Emily Boarman
- Henry W Bockelman
- Deena S. Bodine
- Diana Boedeker
- Connie Renee Boehman
All providers in Evansville, IN · Diagnostic Radiology Physician in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.