# GOUL FAMILY MEDICINE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386331643
- **Authorized official:** RHONDA WILSON GOUL MD (OWNER)
- **Authorized official phone:** (317) 410-0371

## Contact information

- **Practice address:** 5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
- **Practice address phone:** (317) 410-0371
- **Mailing address:** 5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
- **Mailing address phone:** (317) 410-0371

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/18/2023
- **Last updated:** 08/22/2023