Avera Mckennan

NPI #1033405436 in Sioux Falls, South Dakota

Provider Information

NPI Number: 1033405436
Entity Type: Organization
Organization Name: Avera Mckennan
Primary Specialty: Pediatrics
Enumeration Date: Jun 23, 2011
Last Updated: May 16, 2012

Practice Location

Address: 116 W 69TH ST
City: Sioux Falls
State: South Dakota
ZIP Code: 57108-6418
Phone: (605) 322-1530

Authorized Official

Name: MS. JULIE N NORTON
Title: SENIOR VICE PRESIDENT OF FINANCE
Phone: (605) 322-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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