| NPI | 1245275189 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PEDIATRICS ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | TODD FORKEL President & CEO 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: SD 10525) |
| Enumeration Date | 2006-06-17 |
| Last Update Date | 2014-02-12 |