NPI | 1720027121 |
---|---|
Former Legal Business Name | JOHN C LINCOLN LLC |
Doing Business As | DEER VALLEY MEDICAL |
Entity Type | Organization |
Authorized Contact | SAVAS PETRIDES SVP/CEO 480-696-4020 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2006-06-04 |
Last Update Date | 2020-09-17 |