| NPI | 1861787194 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP O'NEILL |
| Entity Type | Organization |
| Authorized Contact | TODD E. CONSBRUCK CEO 402-336-2611 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2021-07-06 |