Avera St. Luke's

NPI #1245275189 in Aberdeen, South Dakota

Provider Information

NPI Number: 1245275189
Entity Type: Organization
Organization Name: Avera St. Luke's
Primary Specialty: Pediatrics
Enumeration Date: Jun 17, 2006
Last Updated: Feb 12, 2014

Practice Location

Address: 201 S LLOYD ST
Address 2: E205
City: Aberdeen
State: South Dakota
ZIP Code: 57401-4552
Phone: (605) 622-4050

Authorized Official

Name: TODD FORKEL
Title: PRESIDENT & CEO
Phone: (605) 622-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X	Primary

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