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Organization

JOHN C LINCOLN LLC

Active
Other names
deer valley Ob Gyn
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GARY R GROVER (SENIOR VP PND)
(623) 516-8637
Entity
Organization

Contact information

Practice address
2302 W GREENWAY RD, PHOENIX, AZ 85023-4235
(602) 942-2310
(602) 942-1735
Mailing address
2302 W GREENWAY RD, PHOENIX, AZ 85023-4235
(602) 942-2310
(602) 942-1735

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Enumeration date
11/01/2006
Last updated
12/07/2007
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