NPI | 1023480951 |
---|---|
Doing Business As | AVERANOW |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 363A00000X Physician Assistant |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2015-10-30 |
Last Update Date | 2018-10-24 |