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Organization

JOHN C LINCOLN , LLC

Active
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Organization

JOHN C LINCOLN , LLC

Active
Other names
Harbor Pointe Internal Medicine
Organization subpart
No

Provider details

NPI number
Authorized official
MR. NATHAN ANSPACH (CEO)
(602) 548-7800
Entity
Organization

Contact information

Practice address
5859 W TALAVI BLVD, SUITE 165, GLENDALE, AZ 85306-1869
(602) 548-7800
(602) 548-0006
Mailing address
5859 W TALAVI BLVD, SUITE 165, GLENDALE, AZ 85306-1869
(602) 548-7800
(602) 548-0006

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
3010
AZ
363A00000X
Physician Assistant
3316
AZ

Other

Enumeration date
04/30/2009
Last updated
06/11/2010
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