Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Parent organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Other names
St. Luke's Nephrology Associates of Carbon County
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. LUKE'S PHYSICIAN GROUP, INC.
Authorized official
DEAN EVANS (PRESIDENT)
(484) 526-4999
Entity
Organization
Contact information
Practice address
218A DELAWARE AVE, PALMERTON, PA 18071-1813
(610) 826-6353
(610) 826-6359
Mailing address
218A DELAWARE AVE, PALMERTON, PA 18071-1813
(610) 826-6353
(610) 826-6359
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
04/30/2019
Last updated
04/30/2019
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