Organization
JOHN C. LINCOLN, LLC
Active
Other names
Deer Valley Family Practice at the Beatitudes
Organization subpart
No
Provider details
NPI number
Authorized official
NATHAN L. ANSPACH (SENIOR VICE PRESIDENT)
(623) 780-3751
Entity
Organization
Contact information
Practice address
1668 W GLENDALE AVE, SUITE 128, PHOENIX, AZ 85021-8948
(623) 780-1999
(623) 516-0950
Mailing address
PO BOX 9907, PHOENIX, AZ 85068-0907
(623) 780-1999
(623) 516-0950
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
08/11/2009
Last updated
05/06/2011
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