Avera Mckennan

NPI #1063432573 in Volga, South Dakota

Provider Information

NPI Number: 1063432573
Entity Type: Organization
Organization Name: Avera Mckennan
Subpart: Yes (part of a larger organization)
Parent Organization: AVERA MCKENNAN HOSPITAL
Primary Specialty: Physician Assistant
Enumeration Date: Jul 20, 2006
Last Updated: Mar 11, 2011

Practice Location

Address: 210 KASAN AVE
City: Volga
State: South Dakota
ZIP Code: 57071
Phone: (605) 627-5701

Authorized Official

Name: MS. JULIE N. NORTON
Title: CFO
Phone: (605) 322-6375

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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