John C Lincoln , LLC

NPI #1013151323 in Glendale, Arizona

Provider Information

NPI Number: 1013151323
Entity Type: Organization
Organization Name: John C Lincoln , LLC
Primary Specialty: Internal Medicine
Enumeration Date: Apr 30, 2009
Last Updated: Jun 11, 2010

Practice Location

Address: 5859 W TALAVI BLVD
Address 2: SUITE 165
City: Glendale
State: Arizona
ZIP Code: 85306-1869
Phone: (602) 548-7800

Authorized Official

Name: MR. NATHAN ANSPACH
Title: CEO
Phone: (602) 548-7800

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Internal Medicine	207R00000X	Primary

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