NPI 1528255775

Avera St. Luke's

Organisation Orthopaedic Surgery Physician Aberdeen, SD

Practice location

Address: 815 1st Ave SE, Aberdeen, SD 57401-4602
Phone: (605) 622-2570
Fax: (605) 622-2571
Mailing address: PO Box 1460, Aberdeen, SD 57402-1460

Authorised official

Name: Ron L Jacobson
Title: Ceo and President
Phone: (605) 622-5230

Registered specialties

Orthopaedic Surgery Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207X00000X Licence 10525 (SD)

Other Orthopaedic Surgery providers in South Dakota →

Registry record

NPI: 1528255775
Entity type: Organization
NPI issued: 2 Oct 2007
Record last updated: 15 Jun 2011

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.