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Organization

SANFORD CLINIC

Active
Other names
Sanford Clinic Plastic & Reconstructive Surgery
Organization subpart
No

Provider details

NPI number
Authorized official
TONY LEE MORRISON (VICE PRESIDENT, REVENUE CYCLE)
(605) 328-8380
Entity
Organization

Contact information

Practice address
1500 W 22ND ST, STE 101, SIOUX FALLS, SD 57105-7702
(605) 328-0000
(605) 328-0001
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-7177

Taxonomy

Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
208600000X
Surgery Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0537886
IA
05
281988100
MN
Enumeration date
07/04/2006
Last updated
11/27/2023
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