NPI | 1093908501 |
---|---|
Doing Business As | AVERA NEUROSURGERY - MARK W. FOX, M.D., FACS |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON Senior VP Of Finance 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 4319) |
Enumeration Date | 2007-08-20 |
Last Update Date | 2012-03-12 |