Avera St Lukes
NPI #1174548937 in Mobridge, South Dakota
Provider Information
- NPI Number
- 1174548937
- Entity Type
- Organization
- Organization Name
- Avera St Lukes
- Primary Specialty
- Technician, Pathology
- Enumeration Date
- Jul 13, 2006
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 1400 10TH AVE W
- City
- Mobridge
- State
- South Dakota
- ZIP Code
- 57601-1246
- Phone
- (605) 845-7292
Authorized Official
- Name
- RON JACOBSON
- Title
- PRESIDENT
- Phone
- (605) 622-5502
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Technician, Pathology |
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