# ST. LUKE'S PHYSICIAN GROUP INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** St. Luke's OBGYN - Nazareth
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265905483
- **Authorized official:** DEAN W EVANS (PRESIDENT)
- **Authorized official phone:** (484) 526-4991

## Contact information

- **Practice address:** 207 N MAIN ST, NAZARETH, PA 18064-1444
- **Practice address phone:** (484) 503-8255
- **Practice address fax:** (833) 550-9704
- **Mailing address:** 207 N MAIN ST, NAZARETH, PA 18064-1444
- **Mailing address phone:** (484) 503-8255
- **Mailing address fax:** (833) 550-9704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2019
- **Last updated:** 01/10/2019