| NPI | 1427090760 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP GREGORY |
| Entity Type | Organization |
| Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-02-10 |