NPI | 1053827634 |
---|---|
Doing Business As | AVERA MEDICAL GROUP RADIOLOGY MITCHELL |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Enumeration Date | 2017-12-19 |
Last Update Date | 2020-08-20 |