Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Colton
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N. NORTON (SENIOR VICE PRESIDENT FINANCE)
(605) 322-6375
Entity
Organization
Contact information
Practice address
300 S. SHERMAN, COLTON, SD 57018
(605) 446-3233
Mailing address
PO BOX 9, 300 S. SHERMAN, COLTON, SD 57018
(605) 446-3233
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
3570
SD
207Q00000X
Family Medicine Physician
5214
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5609026
—
SD
05
—
5611472
—
SD
Enumeration date
01/09/2007
Last updated
03/21/2011
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