| NPI | 1861639197 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PEDIATRICS MITCHELL |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2009-01-08 |
| Last Update Date | 2020-08-20 |