| NPI | 1477033983 |
|---|---|
| Doing Business As | ST. LUKE'S FAMILY PRACTICE FORKS |
| Entity Type | Organization |
| Authorized Contact | JOSEPH MINAHAN President 484-526-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-17 |