| St. Luke's Physician Group, Inc. | |
|
48 W Phillips St Coaldale PA 18218-1437 | |
| (570) 645-2184 | |
| Not Available |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 48 W Phillips St, Coaldale, 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. 48 W Phillips St Coaldale PA 18218-1437 Ph: (570) 645-2184 | St. Luke's Physician Group, Inc. 48 W Phillips St Coaldale PA 18218-1437 Ph: (570) 645-2184 |
| NPI Number | 1225319098 |
|---|---|
| Provider Enumeration Date | 09/07/2011 |
| Last Update Date | 08/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225319098 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Coaldale Cardiology, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Coaldale, PA 18218 Phone: 570-645-0495 Fax: 570-645-0497 | |
Dilliswar Sahoo Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 48 W Phillips St, Coaldale, PA 18218 Phone: 570-645-2184 Fax: 570-645-3297 | |
St. Luke's Physician Group, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 W Ruddle St, Suite 800, Coaldale, PA 18218 Phone: 570-645-1499 |