| NPI | 1568662872 |
|---|---|
| Doing Business As | AVERA MCKENNAN HOSPITAL CRNA |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: SD 10563) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2023-10-04 |