| NPI | 1487003919 |
|---|---|
| Doing Business As | MOON VALLEY |
| Doing Business As | 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 | 2016-06-06 |
| Last Update Date | 2020-10-02 |