| NPI | 1902886567 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP SPENCER |
| Entity Type | Organization |
| Authorized Contact | JULIE N NORTON V.P. Finance 605-322-6375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363LF0000X Nurse Practitioner Family | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2012-03-12 |