| John C Lincoln Llc | |
|
3648 W Anthem Way Suite A100 Anthem AZ 85086 | |
| (602) 485-7482 | |
| (623) 434-6448 |
| Full Name | John C Lincoln Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3648 W Anthem Way, Anthem, Arizona |
| Authorized Official Name and Position | Nathan Anspach (SR. VP) |
| Authorized Official Contact | 6234346200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John C Lincoln Llc 2500 W Utopia Rd Suite 100 Phoenix AZ 85027-4171 Ph: (623) 434-6200 | John C Lincoln Llc 3648 W Anthem Way Suite A100 Anthem AZ 85086 Ph: (602) 485-7482 |
| NPI Number | 1073609848 |
|---|---|
| Provider Enumeration Date | 10/05/2006 |
| Last Update Date | 07/24/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073609848 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | OTC 3490 (Arizona) | Primary |
| 261QR0200X | Clinic/center - Radiology | OTC3148 (Arizona) | Secondary |
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