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
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