# JOHN C. LINCOLN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sun Valley Family Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699852319
- **Authorized official:** MR. NATHAN A. ANSPACH (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (623) 780-3751

## Contact information

- **Practice address:** 5040 N 15TH AVE, SUITE 202, PHOENIX, AZ 85015-3328
- **Practice address phone:** (602) 248-0123
- **Practice address fax:** (602) 248-8506
- **Mailing address:** PO BOX 9907, PHOENIX, AZ 85068-0907
- **Mailing address phone:** (602) 248-0123
- **Mailing address fax:** (602) 248-8506

## Taxonomy

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

## Other

- **Enumeration date:** 11/01/2006
- **Last updated:** 05/31/2011