NPI | 1861740151 |
---|---|
Doing Business As | AVERA MEDICAL GROUP INTERNAL MEDICINE DELANEY CLINIC |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 208800000X Urology |
Enumeration Date | 2012-08-17 |
Last Update Date | 2020-08-20 |