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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) 526-4911
Entity
Organization
Contact information
Practice address
530 CENTRE ST, ASHLAND, PA 17921-1330
(570) 875-0700
(570) 875-1279
Mailing address
801 OSTRUM ST, BETHLEHEM, PA 18015-1000
(484) 526-6048
(484) 526-6500
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
02/24/2014
Last updated
02/24/2014
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