NPI | 1134326861 |
---|---|
Doing Business As | AVERA MEDICAL GROUP SURGERY |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2007-06-27 |
Last Update Date | 2020-08-20 |