| NPI | 1710184569 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP ORTHOPEDICS & SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: SD 100-1023) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-20 |