AVERA QUEEN OF PEACE NPI 1245522622

NPI Information

AVERA QUEEN OF PEACE is a specialist in Mitchell, SD. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. AVERA QUEEN OF PEACE NPI is 1245522622. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Bariatric Center.

The provider's business location address is:

2200 N KIMBALL ST
MITCHELL, SD
ZIP 57301-113
Phone: (605) 996-5482

The provider's authorized official is Patrick J. Clark .
The authorized official title is Senior Vice President And Cfo and has the following contact phone number (605) 995-2251.

The enumeration date for this NPI number is 5/4/2011 and was last updated on 5/4/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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