# JOHN C. LINCOLN LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Southwest Endocrinology Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194839217
- **Authorized official:** MR. GARY GROVER (SR. VICE PRESIDENT)
- **Authorized official phone:** (623) 516-8637

## Contact information

- **Practice address:** 9225 N 3RD ST, SUITE 307, PHOENIX, AZ 85020-2439
- **Practice address phone:** (602) 249-2490
- **Practice address fax:** (602) 249-2555
- **Mailing address:** PO BOX 9907, PHOENIX, AZ 85068-0907
- **Mailing address phone:** (602) 249-2490
- **Mailing address fax:** (602) 249-2555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RE0101X | Endocrinology, Diabetes & Metabolism Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/18/2006
- **Last updated:** 07/21/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 830548 | — | AZ |