NPI | 1982057246 |
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Doing Business As | AVERA MEDICAL GROUP SPECIALTY CARE BROOKINGS A DEPARTMENT OF BROOKINGS |
Entity Type | Organization |
Authorized Contact | JASON MERKLEY CEO 605-696-8010 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2016-07-21 |
Last Update Date | 2016-08-03 |