St. Luke's Physician Group, Inc.

NPI #1225319098 in Coaldale, Pennsylvania

Provider Information

NPI Number: 1225319098
Entity Type: Organization
Organization Name: St. Luke's Physician Group, Inc.
Primary Specialty: Family Medicine
Enumeration Date: Sep 7, 2011
Last Updated: Aug 28, 2015

Practice Location

Address: 48 W PHILLIPS ST
City: Coaldale
State: Pennsylvania
ZIP Code: 18218-1437
Phone: (570) 645-2184

Authorized Official

Name: DEAN W. EVANS
Title: PRESIDENT
Phone: (484) 526-4991

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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