Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W. EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
(484) 526-5237
Mailing address
1417 8TH AVE, BETHLEHEM, PA 18018-2256
(484) 526-5210
(484) 526-5237
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
2084N0400X
Neurology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
01/25/2018
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