St Luke's Physician Group, INC

NPI #1336872597 in Jim Thorpe, Pennsylvania

Provider Information

NPI Number: 1336872597
Entity Type: Organization
Organization Name: St Luke's Physician Group, INC
Primary Specialty: Family Medicine
Enumeration Date: Jul 6, 2022
Last Updated: Jul 6, 2022

Practice Location

Address: 1122 NORTH ST
City: Jim Thorpe
State: Pennsylvania
ZIP Code: 18229-1717
Phone: (570) 645-1945

Authorized Official

Name: SUE CHIAVAROLI
Title: MANAGER
Phone: (484) 526-3569

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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