NPI | 1912936535 |
---|---|
Doing Business As | AVERA MEDICAL GROUP BROOKINGS |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON CFO 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Enumeration Date | 2006-07-03 |
Last Update Date | 2011-03-10 |