| NPI | 1528255775 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP ORTHOPEDICS ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | RON L JACOBSON CEO And President 605-622-5230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: SD 10525) |
| Enumeration Date | 2007-10-02 |
| Last Update Date | 2011-06-15 |