| NPI | 1063432573 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP VOLGA |
| Entity Type | Organization |
| Authorized Contact | JULIE N. NORTON CFO 605-322-6375 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: SD 84) |
| Enumeration Date | 2006-07-20 |
| Last Update Date | 2011-03-11 |