Healthcare Provider Details

I. General information

NPI: 1609526615
Provider Name (Legal Business Name): LUKE WILLIAM HESS
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2022
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1965 W 24TH ST STE A
YUMA AZ
85364-6255
US

IV. Provider business mailing address

3970 PERKIOMEN AVE STE 202
READING PA
19606-2757
US

V. Phone/Fax

Practice location:
  • Phone: 928-344-5774
  • Fax:
Mailing address:
  • Phone: 610-779-1330
  • Fax: 610-779-7699

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number011793
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207QA0505X
TaxonomyAdult Medicine Physician
License NumberOS026145
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: