Organization
GOUL FAMILY MEDICINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA WILSON GOUL MD (OWNER)
(317) 410-0371
Entity
Organization
Contact information
Practice address
5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
(317) 410-0371
Mailing address
5128 E STOP 11 RD STE 38, INDIANAPOLIS, IN 46237-6338
(317) 410-0371
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/18/2023
Last updated
08/22/2023
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