NPI | 1912959495 |
---|---|
Doing Business As | AVERA MEDICAL GROUP WINNER |
Entity Type | Organization |
Authorized Contact | JULIE NORTON Controller 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
Enumeration Date | 2006-05-16 |
Last Update Date | 2017-05-09 |