Avera Queen of Peace
NPI #1710184569 in Mitchell, South Dakota
Provider Information
- NPI Number
- 1710184569
- Entity Type
- Organization
- Organization Name
- Avera Queen of Peace
- Primary Specialty
- Prosthetic/Orthotic Supplier
- Enumeration Date
- Jun 27, 2007
- Last Updated
- Aug 20, 2020
Practice Location
- Address
- 625 N FOSTER ST
- Address 2
- SUITE 200
- City
- Mitchell
- State
- South Dakota
- ZIP Code
- 57301-2969
- Phone
- (605) 996-3963
Authorized Official
- Name
- DOUGLAS EKEREN
- Title
- PRESIDENT/CEO
- Phone
- (605) 668-8322
Specialties & Taxonomy Codes
| Specialty |
|---|
| Prosthetic/Orthotic Supplier |
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