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Organization

JOHN C. LINCOLN GENETICS CANCER RISK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NATHAN ANSPACH (SENIOR VICE PRESIDENT)
(623) 780-3751
Entity
Organization

Contact information

Practice address
19646 N 27TH AVE, STE. 201, PHOENIX, AZ 85027-4017
(623) 580-5390
(623) 580-5397
Mailing address
2500 W UTOPIA RD, STE. 100, PHOENIX, AZ 85027-4171
(623) 434-6200
(623) 780-3752

Taxonomy

Speciality
Code
Description
License number
State
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
4612
AZ

Other

Enumeration date
02/01/2012
Last updated
10/09/2012
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