Avera Mckennan
NPI #1497847446 in Big Stone City, South Dakota
Provider Information
- NPI Number
- 1497847446
- Entity Type
- Organization
- Organization Name
- Avera Mckennan
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 28, 2006
- Last Updated
- Mar 16, 2011
Practice Location
- Address
- 451 MAIN ST
- City
- Big Stone City
- State
- South Dakota
- ZIP Code
- 57216
- Phone
- (605) 862-7999
Authorized Official
- Name
- JULIE N NORTON
- Title
- CFO
- Phone
- (605) 322-6375
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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