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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 Internal Medicine Bangor
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
125 S 1ST ST, BANGOR, PA 18013-2615
(610) 588-8282
(610) 588-5761
Mailing address
125 S 1ST ST, BANGOR, PA 18013-2615
(610) 588-8282
(610) 588-5761
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
03/25/2010
Last updated
03/25/2010
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