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Organization

JOHN C LINCOLN , LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SAVAS PETRIDES (SVP CEO)
(480) 696-4020
Entity
Organization

Contact information

Practice address
750 S IRONWOOD DR STE 102, APACHE JUNCTION, AZ 85120-5047
(855) 485-4673
Mailing address
2500 W UTOPIA RD STE 100, PHOENIX, AZ 85027-4172
(480) 587-5314

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
04/28/2020
Last updated
09/23/2022
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