Organization
JOHN C LINCOLN LLC
Active
Other names
North Mountain Radiology Group - BCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY R GROVER (SENIOR VICE PRESIDENT)
(602) 216-6687
Entity
Organization
Contact information
Practice address
19646 N 27TH AVE, SUITE 205, PHOENIX, AZ 85027
(602) 216-6690
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(602) 216-6690
(602) 216-6950
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2009
Last updated
04/02/2009
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