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Avera Mckennan
Mobile Mammography Clinic/Center in Sioux Falls, South Dakota
NPI 1588997365

Avera Mckennan is a Mobile Mammography Clinic/Center based in Sioux Falls, SD and is specialized in Radiology, Mobile Mammography. Avera Mckennan practices in Sioux Falls, SD. The NPI Number for Avera Mckennan is 1588997365 and holds a License No. 10563 (South Dakota).

The current practice location address for Avera Mckennan is 1000 E 23Rd St, Sioux Falls, SD and can be reached out via phone at 605-322-7465.

Location: 1000 E 23Rd St, Sioux Falls, SD, 57117-5045
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1588997365
Provider Name
Avera Mckennan
Credential
Provider Entity Type
Organization
Address
1000 E 23Rd St, Sioux Falls, SD, 57117-5045
Phone Number
605-322-7465
Fax Number
Provider Enumeration Date
09/11/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1588997365 01 SD WELLMARK BCBS SD
7290300 05 SD
9290118 01 DAKOTACARE
institution
Provider Business Practice Location Address Details
Address
1000 E 23Rd St
City
Sioux Falls
State
South Dakota
Zip
57105-2113
Phone Number
605-322-7465
Fax Number
person
Provider Business Mailing Address Details
Address
1000 E 23Rd St
City
Sioux Falls
State
South Dakota
Zip
57105-2113
Phone Number
605-322-7465
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology, Mobile Mammography
Taxonomy
261QR0207X
License No.
10563 (South Dakota)
Definition
Definition to come...
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