Organization
AVERA QUEEN OF PEACE
Active
Organization
AVERA QUEEN OF PEACE
Active
Other names
Avera Advanced Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS EKEREN (PRESIDENT/CEO)
(605) 668-8322
Entity
Organization
Contact information
Practice address
409 S OHLMAN ST, MITCHELL, SD 57301-3106
(605) 996-4552
(605) 996-0577
Mailing address
409 S OHLMAN ST, MITCHELL, SD 57301-3106
(605) 996-4552
(605) 996-0577
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
—
—
Other
Enumeration date
04/29/2015
Last updated
08/20/2020
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