# ST. LUKE'S PHYSICIAN GROUP INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke's Ashland Family Practice
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134544497
- **Authorized official:** DEAN W. EVANS (PRESIDENT)
- **Authorized official phone:** (484) 526-4911

## Contact information

- **Practice address:** 530 CENTRE ST, ASHLAND, PA 17921-1330
- **Practice address phone:** (570) 875-0700
- **Practice address fax:** (570) 875-1279
- **Mailing address:** 801 OSTRUM ST, BETHLEHEM, PA 18015-1000
- **Mailing address phone:** (484) 526-6048
- **Mailing address fax:** (484) 526-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |

## Other

- **Enumeration date:** 02/24/2014
- **Last updated:** 02/24/2014