Organization
SANFORD CLINIC
Active
Other names
Sanford 4th and Sycamore Family Medicine, Sanford Clinic Family Medicine 4th & Sycamore
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
600 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5745
(605) 328-2999
(605) 328-2957
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
(605) 328-6512
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0573642
—
IA
05
—
407885300
—
MN
Enumeration date
07/02/2006
Last updated
06/30/2020
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