# NEW PHOENIX LLC

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

## Provider details

- **NPI number:** 1922381672
- **Authorized official:** JAMES EUGENE FOSTER JR. M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (937) 299-8242

## Contact information

- **Practice address:** 3533 SOUTHERN BLVD, STE 3000, KETTERING, OH 45429-1280
- **Practice address phone:** (937) 299-8242
- **Practice address fax:** (937) 299-8245
- **Mailing address:** 11161 ASHBURY MEADOWS DR, DAYTON, OH 45458-6403

## Taxonomy

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

## Other

- **Enumeration date:** 09/20/2011
- **Last updated:** 01/19/2018