# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Obstetrics and Gynecology Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306869227
- **Authorized official:** TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 1500 W 22ND ST, STE 301, SIOUX FALLS, SD 57105-1503
- **Practice address phone:** (605) 328-7700
- **Practice address fax:** (605) 328-7775
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-8307

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | — |
| 103T00000X | Psychologist | — | — | — |
| 163W00000X | Registered Nurse | — | NULL | — |
| 163W00000X | Registered Nurse | — | — | — |
| 170300000X | Genetic Counselor (M.S.) | — | NULL | — |
| 170300000X | Genetic Counselor (M.S.) | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | NULL | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | — | — | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | NULL | — |
| 2085U0001X | Diagnostic Ultrasound Physician | — | — | — |
| 2086X0206X | Surgical Oncology Physician | — | NULL | — |
| 2086X0206X | Surgical Oncology Physician | — | — | — |
| 246R00000X | Pathology Technician | — | NULL | — |
| 246R00000X | Pathology Technician | — | — | — |
| 247100000X | Radiologic Technologist | — | NULL | — |
| 247100000X | Radiologic Technologist | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 07/25/2006
- **Last updated:** 02/19/2025