New Phoenix LLC

NPI #1922381672 in Kettering, Ohio

Provider Information

NPI Number: 1922381672
Entity Type: Organization
Organization Name: New Phoenix LLC
Primary Specialty: Family Medicine
Enumeration Date: Sep 20, 2011
Last Updated: Jan 19, 2018

Practice Location

Address: 3533 SOUTHERN BLVD
Address 2: STE 3000
City: Kettering
State: Ohio
ZIP Code: 45429-1280
Phone: (937) 299-8242

Authorized Official

Name: JAMES EUGENE FOSTER JR., M.D.
Title: OWNER/PRESIDENT
Phone: (937) 299-8242

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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