| NPI | 1164563029 |
|---|---|
| Doing Business As | ST. LUKE'S PEDIATRIC SURGERY |
| Entity Type | Organization |
| Authorized Contact | DEAN W EVANS President 691-954-4991 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0120X Surgery, Pediatric Surgery |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |