NPI | 1326398512 |
---|---|
Doing Business As | AVERA MEDICAL GROUP LAFLAN |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN CEO/President 605-668-8321 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
Enumeration Date | 2012-09-14 |
Last Update Date | 2020-03-31 |