AVERA QUEEN OF PEACE
Organization (NPI-2)
Active
Prosthetic/Orthotic Supplier
Provider Information
- NPI Number
1710184569- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 625 N FOSTER ST SUITE 200, MITCHELL, SD, 573012969
- Phone
- (605) 996-3963
- Fax
- (605) 996-0718
Specialties & Taxonomies
Prosthetic/Orthotic Supplier
Primary License: SD #100-1023