AVERA QUEEN OF PEACE NPI 1699972422

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 1699972422. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group Orthopedics & Sports Medicine.

The provider's business location address is:

625 N FOSTER ST STE 200
MITCHELL, SD
ZIP 57301-968
Phone: (605) 995-3463
Fax: (605) 996-0718

The provider's authorized official is Douglas Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8322.

The enumeration date for this NPI number is 6/27/2007 and was last updated on 8/20/2020.

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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