Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(484) 526-3383
Entity
Organization
Contact information
Practice address
701 OSTRUM ST, SUITE 501, FOUNTAIN HILL, PA 18015-1155
(484) 526-6161
(484) 526-6385
Mailing address
701 OSTRUM ST, SUITE 501, FOUNTAIN HILL, PA 18015-1155
(484) 526-6161
(484) 526-6385
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100730753
—
PA
Enumeration date
01/22/2013
Last updated
01/24/2018
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