| NPI | 1205016433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN R FEAGINS Owner/Physician 937-323-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: OH 35071290) |
| Enumeration Date | 2007-11-05 |
| Last Update Date | 2007-11-05 |