| NPI | 1790341212 |
|---|---|
| Doing Business As | ST. LUKE'S PEDIATRIC NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | DEAN EVANS President 484-526-4999 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2080P0210X Pediatrics, Pediatric Nephrology |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2019-05-10 |