NPI | 1154609576 |
---|---|
Doing Business As | SQUAW PEAK FAMILY MEDICINE |
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 | 207Q00000X Family Medicine |
Enumeration Date | 2011-08-02 |
Last Update Date | 2020-09-17 |