St. Luke's Physician Group INC

NPI #1134544497 in Ashland, Pennsylvania

Provider Information

NPI Number: 1134544497
Entity Type: Organization
Organization Name: St. Luke's Physician Group INC
Primary Specialty: General Practice
Enumeration Date: Feb 24, 2014
Last Updated: Feb 24, 2014

Practice Location

Address: 530 CENTRE ST
City: Ashland
State: Pennsylvania
ZIP Code: 17921-1330
Phone: (570) 875-0700

Authorized Official

Name: DEAN W. EVANS
Title: PRESIDENT
Phone: (484) 526-4911

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
General Practice	208D00000X	Primary

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