| NPI | 1972056984 |
|---|---|
| Doing Business As | ENT |
| 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 | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2016-07-26 |
| Last Update Date | 2023-11-10 |