St. Luke's Physician Group, INC

NPI #1639554942 in Albrightsville, Pennsylvania

Provider Information

NPI Number: 1639554942
Entity Type: Organization
Organization Name: St. Luke's Physician Group, INC
Primary Specialty: Internal Medicine
Enumeration Date: Jul 28, 2015
Last Updated: Feb 7, 2018

Practice Location

Address: 2599 STATE ROUTE 903
City: Albrightsville
State: Pennsylvania
ZIP Code: 18210
Phone: (570) 645-1945

Authorized Official

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

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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