Organization
AVERA MEDICAL GROUP
Active
Parent organization
AVERA
Organization subpart
Yes
Provider details
NPI number
Legal business name
AVERA
Authorized official
JENNA ZELLMER (HR)
(605) 224-5901
Entity
Organization
Contact information
Practice address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Mailing address
100 MAC LN, PIERRE, SD 57501-3391
(605) 224-5901
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1052
SD
Other
Enumeration date
09/02/2016
Last updated
09/02/2016
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