NPI | 1063795367 |
---|---|
Doing Business As | JOHN C. LINCOLN, LLC |
Doing Business As | JOHN C. LINCOLN FAMILY MEDICINE AND WELLNESS CENTER |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2011-09-22 |
Last Update Date | 2020-10-02 |