John C. Lincoln, LLC

NPI #1003107921 in New River, Arizona

Provider Information

NPI Number: 1003107921
Entity Type: Organization
Organization Name: John C. Lincoln, LLC
Primary Specialty: Family Medicine
Enumeration Date: Apr 26, 2011
Last Updated: Apr 26, 2011

Practice Location

Address: 46641 N BLACK CANYON HWY
Address 2: STE. 5
City: New River
State: Arizona
ZIP Code: 85087-6941
Phone: (623) 465-8810

Authorized Official

Name: NATHAN ANSPACH
Title: SENIOR VICE PRESIDENT
Phone: (623) 780-3751

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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