| NPI | 1831230408 |
|---|---|
| Doing Business As | AVERA TEA MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RONALD J FARR Sr Vice President Of Finance 605-368-9899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2025-09-11 |