| NPI | 1144635863 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP 69TH AND CLIFF |
| Entity Type | Organization |
| Authorized Contact | JULIE NORTON CFO 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-06-23 |
| Last Update Date | 2014-06-23 |