Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Hoek Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PATRICK J. CLARK (SENIOR VICE PRESIDENT AND CFO)
(605) 995-2251
Entity
Organization
Contact information
Practice address
115 SECOND ST SE, DE SMET, SD 57231-0463
(605) 854-3834
(605) 854-3878
Mailing address
525 N FOSTER ST, MITCHELL, SD 57301-2966
(605) 995-2000
(605) 995-2441
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0232SD
SD
Other
Enumeration date
12/23/2008
Last updated
03/01/2010
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