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Organization
JOHN C. LINCOLN, LLC
Active
Organization
JOHN C. LINCOLN, LLC
Active
Other names
Sun Valley Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NATHAN A. ANSPACH (SENIOR VICE PRESIDENT)
(623) 780-3751
Entity
Organization
Contact information
Practice address
5040 N 15TH AVE, SUITE 202, PHOENIX, AZ 85015-3328
(602) 248-0123
(602) 248-8506
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(602) 248-0123
(602) 248-8506
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/01/2006
Last updated
05/31/2011
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