NPI 1881824977 · live from the CMS NPI Registry
Avera St. Luke'S
Psychiatry & Neurology, Neurology in Aberdeen, SD. National Provider Identifier 1881824977, active.
NPI record
| NPI | 1881824977 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychiatry & Neurology, Neurology 2084N0400X |
| Practice location | 201 S Lloyd St, Suite E202, Aberdeen, SD 57401 |
| Practice phone | 605-622-2605 |
| Mailing address | Po Box 1460, Aberdeen, SD 57402 |
| Enumerated | July 23, 2009 |
| Last updated | March 31, 2016 |
| Authorized official | Todd Forkel, President & Ceo |
| Other names | Avera Medical Group Neurology Aberdeen |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychiatry & Neurology, Neurology primary | 2084N0400X | 10525 (SD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.