Organization
ST. LUKE'S PHYSICIAN GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN W EVANS (PRESIDENT)
(610) 954-4991
Entity
Organization
Contact information
Practice address
5445 LANARK RD STE 200, CENTER VALLEY, PA 18034-8694
(484) 526-7036
Mailing address
801 OSTRUM ST, ENROLLMENT CNTR, BETHLEHEM, PA 18015-1000
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
PA
Other
Enumeration date
06/25/2009
Last updated
08/19/2019
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