Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
AVERA QUEEN OF PEACE
Active OrganizationAVERA QUEEN OF PEACE is a Physician Assistant organization located in DE SMET, South Dakota. NPI 1053557967 is currently active in the NPPES registry. Verify at CMS.
Physician Assistant · DE SMET, SD
Registration Details
- NPI Number
- 1053557967
- Provider Type
- Organization
- NPI Issued
- Dec 23, 2008 (17.630045921059 yrs)
- Last Updated
- Mar 1, 2010
- License
-
0232SD (SD)
Practice Information
- Address
-
115 SECOND ST SEDE SMET, SD, 572310463Browse SD providers · Browse ZIP 57231
- Phone
- 6058543834
- Fax
- 6058543878
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.