NPI | 1003188269 |
---|---|
Doing Business As | AVERA MEDICAL GROUP UROGYNECOLOGY SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2012-02-03 |
Last Update Date | 2019-11-01 |