NPI 1003363490

Avera Medical Group

Organisation Physician Assistant Pierre, SD

Practice location

Address: 100 Mac Ln, Pierre, SD 57501-3391
Phone: (605) 224-5901

Authorised official

Name: Jenna Zellmer
Title: Hr
Phone: (605) 224-5901

Registered specialties

Physician Assistant Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence 1052 (SD)

Other Physician Assistant providers in South Dakota →

Registry record

NPI: 1003363490
Entity type: Organization
NPI issued: 2 Sep 2016
Record last updated: 2 Sep 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.