NPI | 1780062273 |
---|---|
Doing Business As | AVERA MEDICAL GROUP SPENCER, A DEPARTMENT OF SPENCER HOSPITAL |
Entity Type | Organization |
Authorized Contact | BRENDA TIEFENTHALER CEO 712-264-6111 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
2084P0800X Psychiatry & Neurology Psychiatry | |
Enumeration Date | 2015-05-15 |
Last Update Date | 2024-07-05 |