NPI | 1467695767 |
---|---|
Doing Business As | AVERA BREAST CENTER |
Entity Type | Organization |
Authorized Contact | DAVID FLICEK President/CEO 605-322-7916 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SD 10563) |
Enumeration Date | 2009-04-16 |
Last Update Date | 2021-01-08 |