| NPI | 1093262131 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP ORTHOPEDICS AND SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RONALD PLACE CEO/President 605-322-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-01-30 |