# HONORHEALTH MEDICAL GROUP, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** John C. Lincoln, LLC, Gavilan Peak Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336132208
- **Authorized official:** SAVAS PETRIDES (SVP/CEO)
- **Authorized official phone:** (480) 696-4020

## Contact information

- **Practice address:** 3648 W ANTHEM WAY, A100, ANTHEM, AZ 85086-7001
- **Practice address phone:** (623) 434-6444
- **Practice address fax:** (623) 434-6448
- **Mailing address:** 2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
- **Mailing address phone:** (480) 587-5314

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/25/2005
- **Last updated:** 09/17/2020