| NPI | 1952331084 |
|---|---|
| Doing Business As | SOUTHPORT FAMILY PRACTICE & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | JOHN L. MURPHY CEO 317-781-3604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2020-08-22 |