| NPI | 1467510966 |
|---|---|
| Doing Business As | BRISTOL STREET FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | RICHARD ALLEN HASTINGS Owner 574-262-2817 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: IN 01027071A) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2008-06-12 |