Organization · Type 2 NPI

Avera Queen of Peace

Prosthetic/Orthotic Supplier · Mitchell, SD

NPI number 1710184569 Active

Practice location

625 N Foster St, Suite 200
Mitchell, SD 57301-2969

Call (605) 996-3963 Map

Fax (605) 996-0718

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000X100-1023 (SD)

Prosthetic/Orthotic Supplier: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.

10 other providers at this address

About NPI 1710184569

Avera Queen of Peace's National Provider Identifier is 1710184569, issued on Jun 27, 2007. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Mitchell, SD. The record was last updated on Aug 20, 2020.