NPI | 1548290539 |
---|---|
Doing Business As | AVERA MEDICAL GROUP COLOME |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON Vice President Of Finance 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2006-07-04 |
Last Update Date | 2011-03-21 |