Organization
AVERA MCKENNAN
Active
Other names
AveraNow Empire
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID FLICEK (CEO/PRESIDENT)
(605) 322-8000
Entity
Organization
Contact information
Practice address
4101 S LOUISE AVE, SIOUX FALLS, SD 57106-2329
(605) 271-2064
Mailing address
PO BOX 86370, SIOUX FALLS, SD 57118-6370
(605) 322-6408
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
08/29/2018
Last updated
10/24/2018
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