Organization
SANFORD CLINIC
Active
Organization
SANFORD CLINIC
Active
Other names
Sanford Pulmonary Medicine Clinic
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
701 E 2ND ST, IDA GROVE, IA 51445-1666
(712) 364-7341
(712) 364-7241
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
281988100
—
MN
Enumeration date
07/13/2006
Last updated
11/07/2024
Update your record
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