NPI | 1477177707 |
---|---|
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 | 2020-06-02 |
Last Update Date | 2023-08-24 |