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AVERA MCKENNAN NPI 1477847861


NPI Information

NPI: 1477847861
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MEDICAL GROUP RADIATION ONCOLOGY

Classification: Radiology - 2085R0001X
Entity Type: Organization

Specialization: Radiation Oncology

Address:
1000 E. 23RD ST.
STE. 100
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-1625
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AVERA MCKENNAN is a radiation oncology radiology in Sioux Falls, SD. The provider is a radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. AVERA MCKENNAN NPI is 1477847861. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Radiation Oncology.

The provider's business location address is:

1000 E. 23RD ST.
STE. 100
SIOUX FALLS, SD
ZIP 57105-113
Phone: (605) 322-1625
Fax: (605) 322-1626

The provider's authorized official is David Flicek .
The authorized official title is Ceo/president and has the following contact phone number (605) 322-8000.

The enumeration date for this NPI number is 6/3/2011 and was last updated on 10/24/2018.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0001XRadiologyRadiation OncologyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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