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Organization

FAMILY PHYSICIANS OF SPRINGFIELD, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
BRENT JOSEPH DARNER PA-C (PHYSICIAN ASSISTANT)
(937) 418-5720
Entity
Organization

Contact information

Practice address
247 S BURNETT RD, SPRINGFIELD, OH 45505-2639
(937) 328-8850
(937) 328-8860
Mailing address
247 S BURNETT RD, SPRINGFIELD, OH 45505-2639
(937) 328-8850
(937) 328-8860

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078-60-65
OH
01
FA9237031
MEDICARE GROUP
OH
Enumeration date
11/16/2010
Last updated
11/16/2010
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