NPI | 1881964484 |
---|---|
Doing Business As | AVERA MEDICAL GROUP DE SMET |
Entity Type | Organization |
Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2012-01-12 |
Last Update Date | 2023-04-24 |