| NPI | 1083918171 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP CREIGHTON |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8321 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363L00000X Nurse Practitioner | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2011-01-04 |
| Last Update Date | 2023-04-24 |