Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group 69th and Cliff
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE NORTON (CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
6215 SOUTH CLIFF AVENUE, SIOUX FALLS, SD 57108-8589
(605) 322-3300
(605) 322-3301
Mailing address
PO BOX 86430, SIOUX FALLS, SD 57118-6430
(605) 322-4901
(605) 322-4910
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100716
MEDICARE ID
SD
Enumeration date
06/23/2014
Last updated
06/23/2014
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