AVERA QUEEN OF PEACE is a general practice in De Smet, SD. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Source: National Uniform Claim Committee AVERA QUEEN OF PEACE NPI is 1881964484. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Avera Medical Group De Smet.
The provider's business location address is:
801 3RD ST SW
DE SMET, SD
ZIP 57231-224
Phone: (605) 854-3834
Fax: (605) 854-3878
The provider's authorized official is Douglas Ekeren .
The authorized official title is President/ceo and has the following contact phone number (605) 668-8322.
The CLIA number assigned to this NPI record is 43D0931017 - practitioner other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 1/12/2012 and was last updated on 4/24/2023.