NPI | 1194799882 |
---|---|
Doing Business As | AVERA MEDICAL GROUP GASTROENTEROLOGY SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
Enumeration Date | 2006-02-17 |
Last Update Date | 2019-11-01 |