John C. Lincoln, Llc | |
6320 W Union Hills Dr Ste. 2300b Glendale AZ 85308-1096 | |
(623) 561-9113 | |
(623) 561-6148 |
Full Name | John C. Lincoln, Llc |
---|---|
Speciality | Family Medicine |
Location | 6320 W Union Hills Dr, Glendale, Arizona |
Authorized Official Name and Position | Savas Petrides (SVP/CEO) |
Authorized Official Contact | 4806964020 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John C. Lincoln, Llc 2500 W Utopia Rd Ste. 100 Phoenix AZ 85027-4171 Ph: (480) 587-5314 | John C. Lincoln, Llc 6320 W Union Hills Dr Ste. 2300b Glendale AZ 85308-1096 Ph: (623) 561-9113 |
NPI Number | 1063795367 |
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Provider Enumeration Date | 09/22/2011 |
Last Update Date | 10/02/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1063795367 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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