| 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 |