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 |