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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
VALLEY FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
2319 UNION BLVD, ALLENTOWN, PA 18109-1651
(610) 435-0816
(610) 435-9986
Mailing address
623 E BROAD ST, 2ND FLR, BETHLEHEM, PA 18018-6332
(610) 954-6048
(610) 954-3189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01575451
—
PA
Enumeration date
09/20/2006
Last updated
04/16/2010
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