| NPI | 1003585548 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP WILLCOCKSON EYE ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS W EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-02-29 |