NPI | 1528340494 |
---|---|
Doing Business As | AVERA MEDICAL GROUP OPHTHALMOLOGY MITCHELL |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2011-09-15 |
Last Update Date | 2020-08-20 |