NPI | 1346216074 |
---|---|
Doing Business As | AVERA MEDICAL GROUP DERMATOLOGY SIOUX FALLS |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Enumeration Date | 2006-02-23 |
Last Update Date | 2020-07-31 |