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AVERA ST. LUKE'S NPI 1336483551


NPI Information

NPI: 1336483551
Provider Name: AVERA ST. LUKE'S

Doing Business As: AVERA MEDICAL GROUP ONCOLOGY & HEMATOLOGY ABERDEEN

Classification: Internal Medicine - 207RH0003X
Entity Type: Organization

Specialization: Hematology & Oncology

Address:
310 S PENN ST STE 106
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-5613
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AVERA ST. LUKE'S is a hematology and oncology internal medicine in Aberdeen, SD. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. AVERA ST. LUKE'S NPI is 1336483551. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Oncology & Hematology Aberdeen.

The provider's business location address is:

310 S PENN ST STE 106
ABERDEEN, SD
ZIP 57401-553
Phone: (605) 622-5613
Fax: (605) 622-5056

The provider's authorized official is Debbie Streier .
The authorized official title is Vice President and has the following contact phone number (605) 622-2807.

The enumeration date for this NPI number is 11/15/2012 and was last updated on 4/2/2020.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RH0003XInternal MedicineHematology & 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: 4/28/2024

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