St. Luke's Physician Group, Inc.

NPI #1174664049 in Tamaqua, Pennsylvania

Provider Information

NPI Number
1174664049
Entity Type
Organization
Organization Name
St. Luke's Physician Group, Inc.
Primary Specialty
Internal Medicine
Enumeration Date
Feb 12, 2007
Last Updated
Apr 16, 2010

Practice Location

Address
1299 E BROAD ST
ZIP Code
18252-2229
Phone
(570) 668-6541

Authorized Official

Name
DEAN W EVANS
Title
PRESIDENT
Phone
(610) 954-4991

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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