Organization · Type 2 NPI
Avera St. Luke's
Medical Physician Assistant · Aberdeen, SD
NPI number
1174815088
Active
Practice location
615 6th Ave SE
Aberdeen, SD 57401
Fax (605) 622-2859
Mailing address
PO Box 1460
Aberdeen, SD 57402-1460
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | 10525 (SD) |
Medical Physician Assistant: Definition to come...
2 other providers at this address
About NPI 1174815088
Avera St. Luke's's National Provider Identifier is 1174815088, issued on May 11, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Aberdeen, SD. The record was last updated on Apr 2, 2020.