| NPI | 1093759177 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PHYSICAL MEDICINE ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | TESS MOELLER VP 605-622-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: SD 10525) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2022-07-15 |