NPI | 1639945157 |
---|---|
Doing Business As | AVERA MEDICAL GROUP EAR, NOSE AND THROAT MITCHELL |
Entity Type | Organization |
Authorized Contact | HILARY R. ROCKWELL Regional President/CEO 605-995-2276 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Enumeration Date | 2023-11-27 |
Last Update Date | 2023-11-29 |