| St. Luke's Internal Medicine Miners | |
|
360 W Ruddle St Suite 800 Coaldale PA 18218-1027 | |
| (570) 645-1499 | |
| Not Available |
| Full Name | St. Luke's Internal Medicine Miners |
|---|---|
| Speciality | Internal Medicine |
| Location | 360 W Ruddle St, Coaldale, Pennsylvania |
| Authorized Official Name and Position | Dean W Evans (PRESIDENT) |
| Authorized Official Contact | 6109544911 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St. Luke's Internal Medicine Miners 360 W Ruddle St Suite 800 Coaldale PA 18218-1027 Ph: (570) 645-1499 | St. Luke's Internal Medicine Miners 360 W Ruddle St Suite 800 Coaldale PA 18218-1027 Ph: (570) 645-1499 |
| NPI Number | 1851698468 |
|---|---|
| Provider Enumeration Date | 02/16/2011 |
| Last Update Date | 02/16/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851698468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (Pennsylvania) | Primary |
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