| 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 |