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Organization
AVERA MEDICAL GROUP WEBSTER
Active
Organization
AVERA MEDICAL GROUP WEBSTER
Active
Parent organization
AVERA ST LUKES
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA ST LUKES
Authorized official
MRS. RON JACOBSON (CEO AND PRESIDENT)
(605) 622-5890
Entity
Organization
Contact information
Practice address
401 E HIGHWAY 12 STE 2, WEBSTER, SD 57274-1148
(605) 345-2222
(605) 345-2223
Mailing address
PO BOX 1460, ABERDEEN, SD 57402-1460
(605) 622-2857
(605) 622-2859
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/03/2010
Last updated
06/30/2011
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