| NPI | 1437631280 |
|---|---|
| Doing Business As | AVERANOW EMPIRE |
| Entity Type | Organization |
| Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2018-08-29 |
| Last Update Date | 2018-10-24 |