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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 FAMILY PRACTICE AT WALNUTPORT
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
330 N BEST AVE, WALNUTPORT, PA 18088-1205
(610) 760-8080
(610) 760-8148
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
—
1007307530259
—
PA
Enumeration date
09/16/2006
Last updated
04/16/2010
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