NPI 1871728501

Avera St. Luke's

Organisation Family Medicine Physician Aberdeen, SD

Practice location

Address: 500 N Highway 281, Aberdeen, SD 57401-1821
Phone: (605) 622-2856
Fax: (605) 622-5963
Mailing address: PO Box 1460, Aberdeen, SD 57402-1460

Authorised official

Name: Ron L Jacobson
Title: President & Ceo
Phone: (605) 622-5125

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 10525 (SD)

Other Family Medicine providers in South Dakota →

Registry record

NPI: 1871728501
Entity type: Organization
NPI issued: 26 May 2009
Record last updated: 29 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.