# SANFORD CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sanford Clinic Cardiac,Thoracic & Vascular Surgery
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609808906
- **Authorized official:** TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
- **Authorized official phone:** (605) 328-8380

## Contact information

- **Practice address:** 1301 W. 18TH STREET, SIOUX FALLS, SD 57105-0401
- **Practice address phone:** (605) 328-3800
- **Practice address fax:** (605) 328-3810
- **Mailing address:** PO BOX 5074, SIOUX FALLS, SD 57117-5074
- **Mailing address phone:** (605) 328-6585

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | — | NULL | Yes |
| 2086S0129X | Vascular Surgery Physician | — | — | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | — |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | — |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 11/27/2023
