Avera St. Luke's

NPI #1477750289 in Aberdeen, South Dakota

Provider Information

NPI Number: 1477750289
Entity Type: Organization
Organization Name: Avera St. Luke's
Primary Specialty: Internal Medicine
Enumeration Date: Jun 27, 2007
Last Updated: Jun 30, 2011

Practice Location

Address: 201 S LLOYD ST
Address 2: SUITE W270
City: Aberdeen
State: South Dakota
ZIP Code: 57401-4552
Phone: (605) 225-4070

Authorized Official

Name: RON L JACOBSON
Title: PRESIDENT & CEO
Phone: (605) 622-5125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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