Organization
HONORHEALTH MEDICAL GROUP, LLC
Active
Other names
John C Lincoln LLC, Deer Valley Medical
Organization subpart
No
Provider details
NPI number
Authorized official
SAVAS PETRIDES (SVP/CEO)
(480) 696-4020
Entity
Organization
Contact information
Practice address
6220 W. BELL RD., SUITE 100, GLENDALE, AZ 85308
(602) 547-7200
(602) 547-7301
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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
640337
—
AZ
Enumeration date
06/04/2006
Last updated
09/17/2020
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