| Organization Name: | ST. LUKE'S PHYSICIAN GROUP, INC. |
| NPI Number: | 1124034517 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEAN W EVANS (PRESIDENT) |
| Mailing Address: | 701 Ostrum St Suite 102 Fountain Hill |
| State: | PA US |
| Postal Code: | 180151155 |
| Phone Number: | 6109544960 |
| Fax Number: | 6109543162 |
| NPI Enumeration Date: | 07/31/2006 |
| NPI Last Update Date: | 04/15/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |