NPI | 1053680678 |
---|---|
Doing Business As | AVERA MEDICAL GROUP RADIOLOGY SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2011-12-28 |
Last Update Date | 2018-10-24 |