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Organization
AVERA MCKENNAN
Active
Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Tea
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (SR VICE PRESIDENT OF FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
725 E FIGZEL CT, SUITE 100, TEA, SD 57064-2276
(605) 368-9899
(605) 368-5089
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
(605) 322-4910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261Q00000X
Clinic/Center
—
—
Other
Enumeration date
02/23/2006
Last updated
05/16/2012
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