AVERA MCKENNAN NPI 1912936535

NPI Information

AVERA MCKENNAN is a general practice in Brookings, SD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee AVERA MCKENNAN NPI is 1912936535. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Avera Medical Group Brookings.

The provider's business location address is:

400 22ND AVE.
BROOKINGS, SD
ZIP 57006-497
Phone: (605) 697-9500
Fax: (605) 697-6939

The provider's authorized official is Julie N Norton .
The authorized official title is Cfo and has the following contact phone number (605) 322-6375.

The enumeration date for this NPI number is 7/3/2006 and was last updated on 3/10/2011.

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

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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