John C. Lincoln Lifestream At Youngtown | |
10800 N 115th Ave Suite 94 Youngtown AZ 85363-1436 | |
(602) 544-8541 | |
Not Available |
Full Name | John C. Lincoln Lifestream At Youngtown |
---|---|
Speciality | Family Medicine |
Location | 10800 N 115th Ave, Youngtown, Arizona |
Authorized Official Name and Position | Nathan Anspach (SR. VICE PRESIDENT) |
Authorized Official Contact | 6234346200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
John C. Lincoln Lifestream At Youngtown Po Box 9907 Phoenix AZ 85068-0907 Ph: (623) 434-6155 | John C. Lincoln Lifestream At Youngtown 10800 N 115th Ave Suite 94 Youngtown AZ 85363-1436 Ph: (602) 544-8541 |
NPI Number | 1871843326 |
---|---|
Provider Enumeration Date | 09/12/2012 |
Last Update Date | 09/12/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871843326 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |