St. Luke's Physician Group, Inc.
NPI #1275636185 in Brodheadsville, Pennsylvania
Provider Information
- NPI Number
- 1275636185
- Entity Type
- Organization
- Organization Name
- St. Luke's Physician Group, Inc.
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 6, 2006
- Last Updated
- Jan 17, 2018
Practice Location
- Address
- 111 ROUTE 715 STE 101
- City
- Brodheadsville
- State
- Pennsylvania
- ZIP Code
- 18322-7101
- Phone
- (272) 212-0435
Authorized Official
- Name
- DEAN W EVANS
- Title
- PRESIDENT
- Phone
- (484) 526-4911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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