| 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 | 2023-10-10 |