Avera Medical Group Webster
NPI #1588978423 in Webster, South Dakota
Provider Information
- NPI Number
- 1588978423
- Entity Type
- Organization
- Organization Name
- Avera Medical Group Webster
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- AVERA ST LUKES
- Primary Specialty
- Family Medicine
- Enumeration Date
- Aug 3, 2010
- Last Updated
- Jun 30, 2011
Practice Location
- Address
- 401 E HIGHWAY 12 STE 2
- City
- Webster
- State
- South Dakota
- ZIP Code
- 57274-1148
- Phone
- (605) 345-2222
Authorized Official
- Name
- MRS. RON JACOBSON
- Title
- CEO AND PRESIDENT
- Phone
- (605) 622-5890
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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