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Organization
STEPHEN R FEAGINS M.D., LLC
Active
Organization
STEPHEN R FEAGINS M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN R FEAGINS M.D. (OWNER/PHYSICIAN)
(937) 323-1187
Entity
Organization
Contact information
Practice address
247 S BURNETT RD, SUITE 220, SPRINGFIELD, OH 45505-2639
(937) 323-1187
(937) 323-1456
Mailing address
247 S BURNETT RD, SUITE 220, SPRINGFIELD, OH 45505-2639
(937) 323-1187
(937) 323-1456
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35071290
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000195864
ANTHEM
OH
01
—
0401897
UNITED HEALTHCARE OF OHIO
OH
05
—
2233005
—
OH
01
—
2559361
AETNA
OH
Enumeration date
11/05/2007
Last updated
11/05/2007
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