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NPI Verification

National Provider Identifier: 1639373756

Avera St. Luke's

Organization

Primary Specialty

Family Medicine

Code: 207Q00000X

Practice Address

1400 10TH AVE W

MOBRIDGE, SD 576011246

Phone: 605-845-7292

NPI Enumeration Date

June 13, 2007

NPI Number

1639373756

Data sourced from the official CMS NPPES Registry. This information is provided by the Centers for Medicare & Medicaid Services and is updated regularly.

View on CMS NPPES Registry
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