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Organization
JOHN C. LINCOLN LLC
Active
Organization
JOHN C. LINCOLN LLC
Active
Other names
Southwest Endocrinology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY GROVER (SR. VICE PRESIDENT)
(623) 516-8637
Entity
Organization
Contact information
Practice address
9225 N 3RD ST, SUITE 307, PHOENIX, AZ 85020-2439
(602) 249-2490
(602) 249-2555
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(602) 249-2490
(602) 249-2555
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
830548
—
AZ
Enumeration date
08/18/2006
Last updated
07/21/2022
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