NPI | 1932191715 |
---|---|
Doing Business As | DEER VALLEY FAMILY PRACTICE |
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 | 2005-08-18 |
Last Update Date | 2020-09-17 |