| NPI | 1386793776 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP COLTON |
| Entity Type | Organization |
| Authorized Contact | JULIE N. NORTON Senior Vice President Finance 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: SD 3570) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: SD 5214) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2011-03-21 |