| NPI | 1477847861 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP RADIATION ONCOLOGY |
| Entity Type | Organization |
| Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2018-10-24 |