NPI | 1619017514 |
---|---|
Doing Business As | FAMILY PRACTICE OF NEWPORT |
Entity Type | Organization |
Authorized Contact | ROBERT L FOTTER Chief Finanical Officer 802-334-4111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QR1300X Clinic/Center, Rural Health |
332B00000X Durable Medical Equipment & Medical Supplies | |
Enumeration Date | 2007-02-08 |
Last Update Date | 2008-04-20 |