NPI 1093908501
Avera McKennan
Practice location
- Address
- 1100 E 21st St STE 220, Sioux Falls, SD 57105-1020
- Phone
- (605) 322-4825
- Fax
- (605) 322-4826
- Mailing address
- PO Box 86370, Sioux Falls, SD 57118-6370
Authorised official
- Name
- Julie N Norton
- Title
- Senior Vp of Finance
- Phone
- (605) 322-6375
Registered specialties
Neurological Surgery Physician
Primary
Registry record
- NPI
- 1093908501
- Entity type
- Organization
- NPI issued
- 20 Aug 2007
- Record last updated
- 12 Mar 2012
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.