NPI | 1073916938 |
---|---|
Former Legal Business Name | JOHN C LINCOLN, LLC |
Doing Business As | PLAZA DEL RIO FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2014-10-06 |
Last Update Date | 2020-09-17 |