| John C Lincoln Family Medicine | |
|
2423 W Dunlap Ave Ste 130 Phoenix AZ 85021-5818 | |
| (602) 944-0265 | |
| (602) 944-0628 |
| Full Name | John C Lincoln Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 2423 W Dunlap Ave Ste 130, Phoenix, Arizona |
| Authorized Official Name and Position | Regina Rachelle Taylor (PRACTICE MANAGER) |
| Authorized Official Contact | 6029440265 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Lincoln Family Medicine 2423 W Dunlap Ave Ste 130 Phoenix AZ 85021-5818 Ph: (602) 944-0265 | John C Lincoln Family Medicine 2423 W Dunlap Ave Ste 130 Phoenix AZ 85021-5818 Ph: (602) 944-0265 |
| NPI Number | 1174654123 |
|---|---|
| Provider Enumeration Date | 03/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174654123 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | OTC 2875 (Arizona) | Primary |
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