Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(484) 503-7474
Entity
Organization
Contact information
Practice address
4051 FREEMANSBURG AVE, EASTON, PA 18045-5596
(484) 503-7474
(833) 203-6416
Mailing address
4051 FREEMANSBURG AVE, EASTON, PA 18045-5596
(484) 503-7474
(833) 203-6416
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530360
—
PA
Enumeration date
07/23/2015
Last updated
01/24/2018
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