Provider First Line Business Practice Location Address:
1301 SOUTH CLIFF AVE, SUITE 601, AVERA MEDICAL GROUP
Provider Second Line Business Practice Location Address:
PHYSICAL MEDICINE AND REHABILITATION
Provider Business Practice Location Address City Name:
SIOUX FALLS
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-322-6930
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
07/10/2014