Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic Breast Health Institute, Sanford Health Edith Sanford Breast Center Watertown, Sanford Health Edith Sanford Breast Center Outreach
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
1309 W 17TH ST STE G01, SIOUX FALLS, SD 57104-4664
(605) 312-3400
(605) 312-3401
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043900200
—
MN
05
—
0592709
—
IA
Enumeration date
07/28/2006
Last updated
01/23/2025
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