NPI | 1073691093 |
---|---|
Doing Business As | JOHN C LINCOLN LLC |
Doing Business As | DEER VALLEY FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: AZ OTC 2379) |
Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: AZ OTC3148) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2020-10-02 |