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Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Organization
ST LUKE'S PHYSICIAN GROUP INC
Active
Other names
St. Luke's Ashland Family Practice
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 889-3103
(866) 230-8090
Mailing address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 889-3103
(866) 230-8090
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
PA
Other
Enumeration date
04/27/2012
Last updated
02/07/2018
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