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Organization

AVERA MCKENNAN

Active
Other names
Avera Medical Group Eye Care, Avera Medical Group Ophthalmology Sioux Falls
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID FLICEK (SENIOR VP OF FINANCE)
(605) 322-7915
Entity
Organization

Contact information

Practice address
911 E 20TH ST STE 101, SIOUX FALLS, SD 57105-1043
(605) 322-3790
(605) 322-3791
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-7510

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
04/05/2011
Last updated
11/25/2019
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