Avera Queen of Peace
NPI #1053557967 in De Smet, South Dakota
Provider Information
- NPI Number
- 1053557967
- Entity Type
- Organization
- Organization Name
- Avera Queen of Peace
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Dec 23, 2008
- Last Updated
- Mar 1, 2010
Practice Location
- Address
- 115 SECOND ST SE
- City
- De Smet
- State
- South Dakota
- ZIP Code
- 57231-0463
- Phone
- (605) 854-3834
Authorized Official
- Name
- MR. PATRICK J. CLARK
- Title
- SENIOR VICE PRESIDENT AND CFO
- Phone
- (605) 995-2251
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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