Organization
JOHN C LINCOLN HOSPITAL INC
Active
Other names
John C Lincoln Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA RACHELLE TAYLOR (PRACTICE MANAGER)
(602) 944-0265
Entity
Organization
Contact information
Practice address
2423 W DUNLAP AVE STE 130, PHOENIX, AZ 85021-5818
(602) 944-0265
(602) 944-0628
Mailing address
2423 W DUNLAP AVE STE 130, PHOENIX, AZ 85021-5818
(602) 944-0265
(602) 944-0628
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
OTC 2875
AZ
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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