| NPI | 1043851793 |
|---|---|
| Former Legal Business Name | JOHN C. LINCOLN, LLC |
| Entity Type | Organization |
| Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2020-09-17 |