NPI | 1104892892 |
---|---|
Doing Business As | AVERA MEDICAL GROUP NEPHROLOGY SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
Enumeration Date | 2006-02-23 |
Last Update Date | 2018-10-24 |