Organization
ST. LUKE'S PHYSICIAN GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN EVANS (PRESIDENT)
(484) 526-4991
Entity
Organization
Contact information
Practice address
701 OSTRUM ST STE 503, FOUNTAIN HILL, PA 18015-1153
(484) 526-3950
(866) 954-9593
Mailing address
701 OSTRUM ST STE 503, FOUNTAIN HILL, PA 18015-1153
(484) 526-3950
(866) 954-9593
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
03/01/2017
Last updated
01/25/2018
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