Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Bariatric Center
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
2200 N KIMBALL ST, MITCHELL, SD 57301-1113
(605) 996-5482
Mailing address
2200 N KIMBALL ST, MITCHELL, SD 57301-1113
(605) 996-5482
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
05/04/2011
Last updated
05/04/2011
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