Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Center for Pelvic Health
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-3383
Entity
Organization
Contact information
Practice address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(610) 954-4960
(610) 954-3162
Mailing address
701 OSTRUM ST, SUITE 102, FOUNTAIN HILL, PA 18015-1155
(610) 954-4960
(610) 954-3162
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007307530190
—
PA
Enumeration date
07/31/2006
Last updated
04/15/2010
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