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Organization
JOHN C LINCOLN, LLC
Active
Organization
JOHN C LINCOLN, LLC
Active
Other names
SECOND STREET PRIMARY CARE
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN ANSPACH (SENIOR VICE PRESIDENT)
(623) 434-6200
Entity
Organization
Contact information
Practice address
3330 N 2ND ST, SUITE 500, PHOENIX, AZ 85012-2368
(623) 434-6200
Mailing address
2500 W UTOPIA RD, SUITE 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 434-6164
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
10/09/2014
Last updated
12/03/2014
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