| NPI | 1003074972 |
|---|---|
| Other Name | GOSPORT FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | MARLON B FISHEL Administration, Iu Health Sip 812-353-5866 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2022-07-27 |