| NPI | 1558667048 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP O'NEILL |
| Entity Type | Organization |
| Authorized Contact | RON CORK CEO 402-336-2611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2011-02-01 |