| NPI | 1588997365 |
|---|---|
| Doing Business As | AVERA BREAST CENTER MOBILE |
| Entity Type | Organization |
| Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0207X Clinic/Center, Radiology, Mobile Mammography (Licence: SD 10563) |
| Enumeration Date | 2009-09-11 |
| Last Update Date | 2023-10-04 |