NPI | 1639535198 |
---|---|
Doing Business As | AVERA MEDICAL GROUP OPHTHALMOLOGY DME |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON CFO 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2016-01-13 |
Last Update Date | 2016-01-13 |