| NPI | 1376519116 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP TEA |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON Sr Vice President Of Finance 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2006-02-23 |
| Last Update Date | 2012-05-16 |