NPI | 1972058923 |
---|---|
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 | 207R00000X Internal Medicine |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-08-19 |
Last Update Date | 2020-09-17 |