Avera St. Luke's
NPI #1639373756 in Mobridge, South Dakota
Provider Information
- NPI Number
- 1639373756
- Entity Type
- Organization
- Organization Name
- Avera St. Luke's
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jun 13, 2007
- Last Updated
- Jan 18, 2008
Practice Location
- Address
- 1400 10TH AVE W
- City
- Mobridge
- State
- South Dakota
- ZIP Code
- 57601-1246
- Phone
- (605) 845-7292
Authorized Official
- Name
- MR. RON L JACOBSON
- Title
- CEO
- Phone
- (605) 622-5000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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