NPI | 1649461369 |
---|---|
Doing Business As | AVERA NEUROSURGERY - DANIEL G. TYNAN, M.D. |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON Senior VP Of Finance 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: SD 4653) |
Enumeration Date | 2007-08-07 |
Last Update Date | 2010-03-30 |