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Organization

AVERA MCKENNAN

Active
Other names
Avera Medical Group McGreevy 69th & Minnesota Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JULIE N NORTON (SENIOR VICE PRESIDENT OF FINANCE)
(605) 322-6375
Entity
Organization

Contact information

Practice address
116 W 69TH ST, SIOUX FALLS, SD 57108-6418
(605) 322-1530
(605) 322-1531
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4900
(605) 322-4910

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary

Other

Enumeration date
06/23/2011
Last updated
05/16/2012
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