| NPI | 1033195912 |
|---|---|
| Doing Business As | AVERA ENDOSCOPY/SURGICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | BRADLEY W OLSON General Manager 605-229-1367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: SD 48090) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2009-04-14 |