| St. Luke's Physician Group, Inc. | |
|
3180 Route 611 Suite 22 Bartonsville PA 18321-7824 | |
| (570) 664-8900 | |
| (570) 664-8905 |
| Full Name | St. Luke's Physician Group, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3180 Route 611, Bartonsville, 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. 3180 Route 611 Ste 22 Bartonsville PA 18321-7825 Ph: (570) 664-8900 | St. Luke's Physician Group, Inc. 3180 Route 611 Suite 22 Bartonsville PA 18321-7824 Ph: (570) 664-8900 |
| NPI Number | 1760740864 |
|---|---|
| Provider Enumeration Date | 04/26/2012 |
| Last Update Date | 02/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760740864 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
Comprehensive Family Practice Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 102 Route 611 Ste 2, Bartonsville, PA 18321 Phone: 570-619-0080 Fax: 570-476-6213 |