Avera Mckennan
NPI #1376519116 in Tea, South Dakota
Provider Information
- NPI Number
- 1376519116
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Family Medicine
- Enumeration Date
- Feb 23, 2006
- Last Updated
- May 16, 2012
Practice Location
- Address
- 725 E FIGZEL CT
- Address 2
- SUITE 100
- City
- Tea
- State
- South Dakota
- ZIP Code
- 57064-2276
- Phone
- (605) 368-9899
Authorized Official
- Name
- JULIE N NORTON
- Title
- SR VICE PRESIDENT OF FINANCE
- Phone
- (605) 322-6375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
| Family Medicine |
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