Exhibit 3.2






                                           

                                       BY-LAWS
                                           
                                          of
                                           
                          INTEGRATED PHYSICIAN SYSTEMS, INC.
                                           
                               (A Delaware Corporation)
                                           
                                           
                                           



                          INTEGRATED PHYSICIAN SYSTEMS, INC.

                               (A Delaware Corporation)

                                       BY-LAWS

                                      ARTICLE I

                                     STOCKHOLDERS


Section 1.1   Places of Meetings.

     All meetings of the stockholders shall be held at such place or places in
or outside of the State of Delaware as the Board of Directors may from time to
time determine, or as may be designated in the notice of meeting or waiver of
notice thereof, subject to any provisions of the laws of the State of Delaware.

Section 1.2   Annual Meetings.

     The annual meeting of the stockholders of the Company, for the election of
directors and for the transaction of any other business which may properly be
transacted at the annual meeting, shall be held at such hour on such day and at
such place within or without the State of Delaware as may be fixed by the Board
of Directors.

Section 1.3   Special Meetings.

     Special meetings of stockholders for any purpose or purposes may be held
at any time upon call of the Chairman of the Board, if any, the President, the
Secretary, or a majority of the Board of Directors, at such time and place
either within or without the State of Delaware as may be stated in the notice.
A special meeting of stockholders shall be called by the President or the




Secretary upon the written request, stating time, place, and the purpose or
purposes of the meeting, of stockholders who together own of record at least
twenty percent (20%) of the outstanding stock of all classes entitled to vote
at such meeting.


Section 1.4   Notices of Meetings

     Written notice of stockholders meetings, stating the place, date, and hour
thereof, and, in the case of a special meeting, the purpose or purposes for
which the meeting is called, shall be given by the Chairman of the Board, if
any, the President, any Vice President, the Secretary, or an Assistant
Secretary, to each stockholder entitled to vote thereat at least ten days but
not more than sixty days before the date of the meeting, unless a different
period is prescribed by law.

Section 1.5   Quorum.

     Except as otherwise provided by law or in the Certificate of Incorporation
or these By-Laws, at any meeting of stockholders, the holders of a majority of
the outstanding shares of each class of stock entitled to vote at the meeting
shall be present or represented by proxy in order to constitute a quorum for the
transaction of any business.  In the absence of a quorum, a majority in interest
of the stockholders present or the chairman of the meeting may adjourn the
meeting from time to time in the manner provided in Section 1.5 of these By-Laws
until a quorum shall attend.

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Section 1.6   Adjournment.

    Any meeting of stockholders, annual or special, may adjourn from time to
time to reconvene at the same or some other place, and notice need not be given
of any such adjourned meeting if the time and place thereof are announced at the
meeting at which the adjournment is taken.  At the adjourned meeting, the
Corporation may transact any business which might have been transacted at the
original meeting.  If the adjournment is for more than thirty days, or if after
the adjournment a new record date is fixed for the adjourned meeting, a notice
of the adjourned meeting shall be given to each stockholder of record entitled
to vote at the meeting.

Section 1.7   Organization.

    The Chairman of the Board, if any, or in his absence the President, or in
their absence any Vice President, shall call to order meetings of stockholders
and shall act as chairman of such meetings.  The Board of Directors or, if the
Board fails to act, the stockholders may appoint any stockholder, director, or
officer of the Corporation to act as chairman of any meeting in the absence of
the Chairman of the Board, the President, and all Vice Presidents.

         The Secretary of the Corporation shall act as secretary of all
meetings of stockholders, but, in the absence of the Secretary, the chairman of
the meeting may appoint any other person to act as secretary of the meeting.

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Section 1.8   Voting.   

    Except as otherwise provided by law or in the Certificate of Incorporation
or these By-Laws and except for the election of directors, at any meeting duly
called and held at which a quorum is present, a majority of the votes cast at
such meeting upon a given question by the holders of outstanding shares of stock
of all classes of stock of the Corporation entitled to vote thereon who are
present in person or by proxy shall decide such question.  At any meeting duly
called and held for the election of directors at which a quorum is present,
directors shall be elected by a plurality of the votes cast by the holders
(acting as such) of shares of stock of the Corporation entitled to elect such
directors.

                                      ARTICLE II

                                  BOARD OF DIRECTORS

Section 2.1   Number and Term of Office.

    The business, property, and affairs of the Corporation shall be managed by 
or under the direction of a Board of at least three (3) directors; provided,
however, that the Board, by resolution adopted by vote of a majority of the then
authorized number of directors, may increase or decrease the number of
directors.  The directors shall be elected by the holders of shares entitled to
vote thereon at the annual meeting of stockholders, and each shall serve
(subject to the provisions of Article IV) until the next succeeding annual
meeting of stockholders and until his respective successor has been elected and
qualified.

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Section 2.2   Chairman of the Board.

    The directors may elect one of their members to be Chairman of the Board of
Directors.  The Chairman shall be subject to the control of and may be removed
by the Board of Directors.  He shall perform such duties as may from time to
time be assigned to him by the Board.

Section 2.3   Meetings. 

    The annual meeting of the Board of Directors, for the election of officers
and the transaction of such other business as may come before the meeting, shall
be held without notice at the same place as, and immediately following, the
annual meeting of the stockholders.

    Regular meetings of the Board of Directors may be held without notice at
such time and place as shall from time to time be determined by the Board.

    Special meetings of the Board of Directors shall be held at such time and
place as shall be designated in the notice of the meeting whenever called by the
Chairman of the Board, the President or by any two of the directors then in
office.

Section 2.4   Notice of Special Meetings.

    The Secretary, or in his absence any other officer of the Corporation,
shall give each director notice of the time and place of holding of special
meetings of the Board of Directors by mail at least five days before the
meeting, or by electronically confirmed facsimile or personal service at least
two days before the meeting.  Unless otherwise stated in the notice thereof, any
and all business may be transacted at any meeting without specification of such
business in the notice.

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Section 2.5   Quorum and Organization of Meetings.

    One-half of the total number of members of the Board of Directors as
constituted from time to time shall constitute a quorum for the transaction of
business, but, if at any meeting of the Board of Directors (whether or not
adjourned from a previous meeting) there shall be less than a quorum present, a
majority of those present may adjourn the meeting to another time and place, and
the meeting may be held as adjourned without further notice or waiver.  Except
as otherwise provided by law or in the Certificate of Incorporation or these
By-Laws, a majority of the directors present at any meeting at which a quorum is
present may decide any question brought before such meeting.  Meetings shall be
presided over by the Chairman of the Board, if any, or in his absence by the
President, or in the absence of both by such other person as the directors may
select.  The Secretary of the Corporation shall act as secretary of the meeting,
but in his absence the chairman of the meeting may appoint any person to act as
secretary of the meeting.

Section 2.6   Committees.

    The Board of Directors may, by resolution passed by a majority of the whole
Board, designate one or more committees, each committee to consist of one or
more of the directors of the Corporation.  The Board may designate one or more
directors as alternate members of any committee, who may replace any absent or
disqualified member at any meeting of the committee.  In the absence or
disqualification of a member of a committee, the member or members thereof
present at any meeting and not disqualified from voting, whether or not he or
they constitute a quorum, may unanimously appoint another member of the Board of
Directors to act at the meeting in place of any such absent or disqualified
member.  Any such committee, to the extent 

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provided in the resolution of the Board of Directors, shall have and may 
exercise all the powers and authority of the Board of Directors in the 
management of the business, property, and affairs of the Corporation, and may 
authorize the seal of the Corporation to be affixed to all papers which may 
require it; but no such committee shall have power or authority in reference 
to amending the Certificate of Incorporation of the Corporation (except that 
a committee may, to the extent authorized in the resolution or resolutions 
providing for the issuance of shares of stock adopted by the Board of 
Directors pursuant to authority expressly granted to the Board of Directors 
by the Corporation's Certificate of Incorporation, fix any of the preferences 
or rights of such shares relating to dividends, redemption, dissolution, any 
distribution of assets of the Corporation, or the conversion into, or the 
exchange of such shares for, shares of any other class or classes or any 
other series of the same or any other class or classes of stock of the 
Corporation), adopting an agreement of merger or consolidation under Section 
251 or 252 of the General Corporation Law of the State of Delaware, 
recommending to the stockholders the sale, lease, or exchange of all or 
substantially all of the Corporation's property and assets, recommending to 
the stockholders a dissolution of the Corporation or a revocation of 
dissolution, or amending these By-Laws; and, unless the resolution expressly 
so provides, no such committee shall have the power or authority to declare a 
dividend, to authorize the issuance of stock, or to adopt a certificate of 
ownership and merger pursuant to Section 253 of the General Corporation Law 
of the State of Delaware.  Each committee which may be established by the 
Board of Directors pursuant to these By-Laws may fix its own rules and 
procedures.  Notice of meetings of committees, other than of regular meetings 
provided for by the rules, shall be given to committee members.  All action 
taken by committees shall be recorded in minutes of the meetings.

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Section 2.7   Action Without Meeting.

    Nothing contained in these By-Laws shall be deemed to restrict the power of
members of the Board of Directors or any committee designated by the Board to
take any action required or permitted to be taken by them without a meeting.

Section 2.8   Telephone Meetings.

    Nothing contained in these By-Laws shall be deemed to restrict the power of
members of the Board of Directors, or any committee designated by the Board, to
participate in a meeting of the Board, or committee, by means of conference
telephone or similar communications equipment by means of which all persons
participating in the meeting can hear each other.


                                     ARTICLE III

                                       OFFICERS

Section 3.1 Executive Officers.

    The executive officers of the Corporation shall be a Chairman of the Board,
President, one or more Vice Presidents, and a Secretary, each of whom shall be
elected by the Board of Directors.  The Board of Directors may elect or appoint
such other officers (including a Controller, a Treasurer and one or more
Assistant 

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Treasurers and Assistant Secretaries) as it may deem necessary or desirable.  
Each officer shall hold office for such term as may be prescribed by the 
Board of Directors from time to time.  Any person may hold at one time two or 
more offices.

Section 3.2    Powers and Duties.

    The Chairman of th Board shall be the chief executive officer of the
Corporation.  The President shall be responsible for the day to day affairs of
the Corportion.  In the absence of the President, a Vice President appointed by
the President or, if the President fails to make such appointment, by the Board,
shall perform all the duties of the President.  The officers and agents of the
Corporation shall each have such powers and authority and shall perform such
duties in the management of the business, property, and affairs of the
Corporation as generally pertain to their respective offices, as well as such
powers and authorities and such duties as from time to time may be prescribed by
the Board of Directors.

                                      ARTICLE IV

                         RESIGNATIONS, REMOVALS AND VACANCIES

Section 4.1   Resignations.

    Any director or officer of the Corporation, or any member of any committee,
may resign at any time by giving written notice to the Board of Directors, the
President, or the Secretary of the Corporation.  Any such resignation shall take
effect at the time specified 

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therein or, if the time be not specified therein, then upon receipt thereof.  
The acceptance of such resignation shall not be necessary to make it 
effective.

Section 4.2   Removals.

    The Board of Directors, by a vote of not less than a majority of the entire
Board, at any meeting thereof, or by written consent, at any time, may, to the
extent permitted by law, remove with or without cause from office or terminate
the employment of any officer or member of any committee and may, with or
without cause, disband any committee.

    Any director or the entire Board of Directors may be removed, with or
without cause, by the holders of a majority of the shares entitled at the time
to vote at an election of directors.

Section 4.3   Vacancies.

    Any vacancy in the office of any director or officer through death,
resignation, removal, disqualification, or other cause, and any additional
directorship resulting from increase in the number of directors, may be filled
at any time by a majority of the directors then in office (even though less than
a quorum remains) or, in the case of any vacancy in the office of any director,
by the stockholders, and, subject to the provisions of this Article IV, the
person so chosen shall hold office until his successor shall have been elected
and qualified; or, if the person so chosen is a director elected to fill a
vacancy, he 

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shall (subject to the provisions of this Article IV) hold office for the 
unexpired term of his predecessor.

                                      ARTICLE V

                                    CAPITAL STOCK

Section 5.1   Stock Certificates.

    The certificates for shares of the capital stock of the Corporation shall
be in such form as shall be prescribed by law and approved, from time to time,
by the Board of Directors.

Section 5.2   Transfer of Shares.

    Shares of the capital stock of the Corporation may be transferred on the
books of the Corporation only by the holder of such shares or by his duly
authorized attorney, upon the surrender to the Corporation or its transfer agent
of the certificate representing such stock properly endorsed.

Section 5.3   Fixing Record Date.

    In order that the Corporation may determine the stockholders entitled to
notice of or to vote at any meeting of stockholders or any adjournment thereof
or to express consent to corporate action in writing without a meeting, or
entitled to receive payment of any dividend or other distribution or allotment
of any rights, or entitled to exercise any rights in respect of any change,
conversion, or exchange of stock, or for the purpose of 

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any other lawful action, the Board of Directors may fix, in advance, a record 
date, which, unless otherwise provided by law, shall not be more than sixty 
nor less than ten days before the date of such meeting, nor more than sixty 
days prior to any other action.

Section 5.4   Lost Certificates.

    The Board of Directors, or any transfer agent of the Corporation may direct
a new certificate or certificates representing stock of the Corporation to be
issued in place of any certificate or certificates theretofore issued by the
Corporation, alleged to have been lost, stolen, or destroyed, upon the making of
an affidavit of that fact by the person claiming the certificate to be lost,
stolen, or destroyed.  When authorizing such issue of a new certificate or
certificates, the Board of Directors (or any transfer agent of the Corporation
authorized to do so by a resolution of the Board of Directors) may, in its
discretion and as a condition precedent to the issuance thereof, require the
owner of such lost, stolen, or destroyed certificate or certificates, or his
legal representative, to give the Corporation a bond in such sum as the Board of
Directors (or any transfer agent so authorized) shall direct to indemnify the
Corporation against any claim that may be made against the Corporation with
respect to the certificate alleged to have been lost, stolen, or destroyed or
the issuance of such new certificates, and such requirement may be general or
confined to specific instances.   

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Section 5.5   Regulations.

    The Board of Directors shall have power and authority to make all such
rules and regulations as it may deem expedient concerning the issue, transfer,
registration, cancellation, and replacement of certificates representing stock
of the Corporation.

                                      ARTICLE VI

                                    MISCELLANEOUS

Section 6.1   Corporate Seal.

    The corporate seal shall have inscribed thereon the name of the
Corporation, the year of organization, and the words "Corporate Seal" and
"Delaware."

Section 6.2   Fiscal Year.

    The fiscal year of the Corporation shall be determined by resolution of the
Board of Directors.

Section 6.3   Notices and Waivers Thereof.

    Whenever any notice whatever is required by law, the Certificate of
Incorporation, or these By-Laws to be given to any stockholder, director, or
officer, such notice, except as otherwise provided by law, may be given
personally, or by mail, or, in the case of directors or officers, by telegram,
cable, or radiogram, addressed to such address as appears on the books of the
Corporation.  Any notice given by telegram, cable, or radiogram shall be deemed
to have been given when it shall have been delivered for 

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transmission and any notice given by mail shall be deemed to have been given 
when it shall have been deposited in the United States mail with postage 
thereon prepaid.

    Whenever any notice is required to be given by law, the Certificate of
Incorporation, or these By-Laws, a written waiver thereof, signed by the person
entitled to such notice, whether before or after the meeting or the time stated
therein, shall be deemed equivalent in all respects to such notice to the full
extent permitted by law.

Section 6.4   Stock of Other Corporations or Other Interests.

    Unless otherwise ordered by the Board of Directors, the President, the
Secretary, and such attorneys or agents of the Corporation as may be from time
to time authorized by the Board of Directors or the President, shall have full
power and authority on behalf of this Corporation to attend and to act and vote
in person or by proxy at any meeting of the holders of securities of any
corporation or other entity in which this Corporation may own or hold shares or
other securities, and at such meetings shall possess and may exercise all the
rights and powers incident to the ownership of such shares or other securities
which this Corporation, as the owner or holder thereof, might have possessed and
exercised if present.  The President, the Secretary, or such attorneys or
agents, may also execute and deliver on behalf of this Corporation powers of
attorney, proxies, consents, waivers, and other instruments relating to the
shares or securities owned or held by this Corporation.

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                                     ARTICLE VII

                                      AMENDMENTS

    The holders of shares entitled at the time to vote for the election of
directors shall have power to adopt, amend, or repeal the By-Laws of the
Corporation by vote of not less than a majority of such shares, and except as
otherwise provided by law, the Board of Directors shall have power equal in all
respects to that of the stockholders to adopt, amend, or repeal the By-Laws by
vote of not less than a majority of the entire Board.  However, any By-Law
adopted by the Board may be amended or repealed by vote of the holders of a
majority of the shares entitled at the time to vote for the election of
directors.


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