Wagner Community Memorial Hospital Avera
NPI #1285964494 in Wagner, South Dakota
Provider Information
- NPI Number
- 1285964494
- Entity Type
- Organization
- Organization Name
- Wagner Community Memorial Hospital Avera
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jan 11, 2010
- Last Updated
- Jan 11, 2010
Practice Location
- Address
- 513 3RD ST SW
- City
- Wagner
- State
- South Dakota
- ZIP Code
- 57380-9675
- Phone
- (605) 384-3611
Authorized Official
- Name
- MR. BRYAN SLABA
- Title
- CEO
- Phone
- (605) 384-3611
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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