Individual
SANFORD HEROLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2820 MOUNT RUSHMORE RD, RAPID CITY, SD 57701-5462
(605) 342-3280
(605) 721-8458
Mailing address
PO BOX 6020, RAPID CITY, SD 57709-6020
(605) 342-3280
(605) 721-8458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD012134E
PA
207RG0100X
Gastroenterology Physician
Primary
7902
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000613389
—
PA
Enumeration date
07/25/2006
Last updated
03/16/2011
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