Avera Medical Group

NPI #1003363490 in Pierre, South Dakota

Provider Information

NPI Number: 1003363490
Entity Type: Organization
Organization Name: Avera Medical Group
Subpart: Yes (part of a larger organization)
Parent Organization: AVERA
Primary Specialty: Physician Assistant
Enumeration Date: Sep 2, 2016
Last Updated: Sep 2, 2016

Practice Location

Address: 100 MAC LN
City: Pierre
State: South Dakota
ZIP Code: 57501-3391
Phone: (605) 224-5901

Authorized Official

Name: JENNA ZELLMER
Title: HR
Phone: (605) 224-5901

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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