Organization
AVERA MCKENNAN
Active
Other names
Avera Medical Group Ophthalmology DME
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE N NORTON (CFO)
(605) 322-6375
Entity
Organization
Contact information
Practice address
1301 S CLIFF AVE, STE. 220, SIOUX FALLS, SD 57105-1005
(605) 322-3790
(605) 322-3791
Mailing address
1301 S CLIFF AVE, STE. 220, SIOUX FALLS, SD 57105-1005
(605) 322-3790
(605) 322-3791
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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