# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Clinic Women's Health Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023203619
- **Authorized official:** TONY LEE MORRISON (VIE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 5019 S WESTERN AVE, STE 200, SIOUX FALLS, SD 57108-5095
- **Practice address phone:** (605) 328-9700
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-8395
- **Mailing address fax:** (605) 328-9401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207N00000X | Dermatology Physician | — | NULL | — |
| 207N00000X | Dermatology Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |
| 207RC0000X | Cardiovascular Disease Physician | — | NULL | — |
| 207RC0000X | Cardiovascular Disease Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | — |
| 208200000X | Plastic Surgery Physician | — | NULL | — |
| 208200000X | Plastic Surgery Physician | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |

## Other

- **Enumeration date:** 09/07/2007
- **Last updated:** 11/27/2023