Organization
HONORHEALTH MEDICAL GROUP, LLC
Active
Other names
Deer Valley Family Medicine, John C Lincoln LLC
Organization subpart
No
Provider details
NPI number
Authorized official
SAVAS PETRIDES (SVP/CEO)
(480) 696-4020
Entity
Organization
Contact information
Practice address
19636 N 27TH AVE, SUITE 308, PHOENIX, AZ 85027-4013
(623) 780-1999
(623) 516-0950
Mailing address
2500 W UTOPIA RD, PHOENIX, AZ 85027-4171
(480) 587-5314
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OTC 2379
AZ
261QR0200X
Radiology Clinic/Center
OTC3148
AZ
Other
Enumeration date
11/01/2006
Last updated
10/02/2020
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