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Avera St. Luke's
Obstetrics & Gynecology Physician in Aberdeen, South Dakota
NPI 1720317118

Avera St. Luke's is a Obstetrics & Gynecology Physician based in Sioux Falls, SD. Avera St. Luke's practices in Aberdeen, SD. The NPI Number for Avera St. Luke's is 1720317118 and holds a License No. 10525 (South Dakota).

The current practice location address for Avera St. Luke's is 310 S Penn St Ste 204, Aberdeen, SD and can be reached out via phone at 605-225-1636 and via fax at 605-229-2434.

Location: 310 S Penn St Ste 204, Aberdeen, SD, 57118-6370
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1720317118
Provider Name
Avera St. Luke's
Credential
Provider Entity Type
Organization
Address
310 S Penn St Ste 204, Aberdeen, SD, 57118-6370
Phone Number
605-225-1636
Fax Number
605-229-2434
Provider Enumeration Date
12/14/2009
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
43D0407595 01 SD CLIA
14981 01 ND MEDICAID
S101808 01 SD MEDICARE PTAN
institution
Provider Business Practice Location Address Details
Address
310 S Penn St Ste 204
City
Aberdeen
State
South Dakota
Zip
57401-4553
Phone Number
605-225-1636
Fax Number
605-229-2434
person
Provider Business Mailing Address Details
Address
310 S Penn St Ste 204
City
Aberdeen
State
South Dakota
Zip
57401-4553
Phone Number
605-225-1636
Fax Number
605-229-2434
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Obstetrics & Gynecology
Speciality
-
Taxonomy
207V00000X
License No.
10525 (South Dakota)
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
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