| NPI | 1669616496 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP EAR, NOSE & THROAT YANKTON |
| Entity Type | Organization |
| Authorized Contact | PAM REZAC CEO/President 605-668-8000 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2012-03-06 |