NPI | 1083051817 |
---|---|
Doing Business As | AVERA MEDICAL GROUP PAIN MANAGEMENT ABERDEEN |
Entity Type | Organization |
Authorized Contact | DANIEL J BJERKNES President/CEO 605-622-5125 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
Enumeration Date | 2013-06-03 |
Last Update Date | 2024-05-23 |