| NPI | 1710501788 |
|---|---|
| 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 | 2020-06-04 |
| Last Update Date | 2020-09-17 |