| 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 |