| St. Luke's Physician Group, Inc. | |
|
1417 8th Ave Bethlehem PA 18018-2256 | |
| (484) 526-5210 | |
| (484) 526-5237 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 1417 8th Ave, Bethlehem, Pennsylvania |
| Authorized Official Name and Position | Dean W. Evans (PRESIDENT) |
| Authorized Official Contact | 4845264991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Physician Group, Inc. 1417 8th Ave Bethlehem PA 18018-2256 Ph: (484) 526-5210 | St. Luke's Physician Group, Inc. 1417 8th Ave Bethlehem PA 18018-2256 Ph: (484) 526-5210 |
| NPI Number | 1588755425 |
|---|---|
| Provider Enumeration Date | 09/27/2006 |
| Last Update Date | 01/25/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588755425 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Secondary |
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
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