NPI | 1366091357 |
---|---|
Doing Business As | AVERA MEDICAL GROUP GETTYSBURG |
Entity Type | Organization |
Authorized Contact | SHANTEL KREBS Interim CEO 605-224-3144 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
Enumeration Date | 2019-09-11 |
Last Update Date | 2023-04-24 |