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Avera Queen Of Peace

Dietitian, Registered in Mitchell, SD. Organization (NPI-2).

NPI number1598094823
StatusActive
Last updated in NPPESSep 14, 2020

Details

NPI
1598094823
Entity type
Organization (NPI-2)
Legal business name
Avera Queen Of Peace
Organization subpart
No
Enumeration date
Dec 16, 2009
Certification date
Sep 14, 2020
Last updated
Sep 14, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
133V00000X Dietitian, Registered––Yes

Practice location

525 N Foster St
Mitchell, SD 57301-2966

Phone 605-995-2000 · Fax 605-995-2441

Mailing address

525 N Foster St
Mitchell, SD 57301-2966

Phone 605-995-2000 · Fax 605-995-2441

Authorized official

Douglas Ekeren
President/Ceo
6056688321

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Other Registered Dietitian providers in Mitchell, SD

All 5 Registered Dietitian providers in Mitchell · All 536 providers in Mitchell

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