St. Luke's Physician Group, Inc.

NPI #1730403304 in Bangor, Pennsylvania

Provider Information

NPI Number: 1730403304
Entity Type: Organization
Organization Name: St. Luke's Physician Group, Inc.
Primary Specialty: Internal Medicine
Enumeration Date: Mar 25, 2010
Last Updated: Mar 25, 2010

Practice Location

Address: 125 S 1ST ST
City: Bangor
State: Pennsylvania
ZIP Code: 18013-2615
Phone: (610) 588-8282

Authorized Official

Name: DEAN W. EVANS
Title: PRESIDENT
Phone: (610) 954-3383

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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