| NPI | 1306939806 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP WORTHINGTON |
| Former Legal Business Name | AVERA MCKENNAN DBA AVERA WORTHINGTON SPECIALTY CLINICS |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON CFO/SVP 605-322-7818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2017-05-31 |