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Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
3180 ROUTE 611, SUITE 22, BARTONSVILLE, PA 18321-7824
(570) 664-8900
(570) 664-8905
Mailing address
3180 ROUTE 611 STE 22, BARTONSVILLE, PA 18321-7825
(570) 664-8900
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
PA
Other
Enumeration date
04/26/2012
Last updated
02/08/2018
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