Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Other names
St. Luke's Orthopedic Care
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
801 OSTRUM ST, PPHP, 2ND FLOOR, FOUNTAIN HILL, PA 18015-1000
(484) 526-1735
(484) 526-2429
Mailing address
801 OSTRUM ST, PRISCELLA PAYNE HURD 2ND FL, BETHLEHEM, PA 18015-1000
(484) 526-1735
(484) 526-2429
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
207XS0106X
Orthopaedic Hand Surgery Physician
—
—
207XX0004X
Orthopaedic Foot and Ankle Surgery Physician
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
—
—
Other
Enumeration date
07/19/2006
Last updated
11/08/2021
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