NPI | 1154346625 |
---|---|
Doing Business As | AVERA MEDICAL GROUP SELBY |
Entity Type | Organization |
Authorized Contact | DEBBIE STREIER Vice President 605-622-2807 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 10525) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2020-04-02 |