NPI | 1255408944 |
---|---|
Doing Business As | AVERA MEDICAL GROUP MCGREEVY SOUTHEASTERN AVENUE |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON Sr Vice President Of Fiance 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2006-11-29 |
Last Update Date | 2012-05-10 |