Organization
SANFORD CLINIC
Active
Other names
Sanford Obstetrics and Gynecology 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
1500 W 22ND ST, STE 301, SIOUX FALLS, SD 57105-1503
(605) 328-7700
(605) 328-7775
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-8307
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
163W00000X
Registered Nurse
—
—
170300000X
Genetic Counselor (M.S.)
—
—
207R00000X
Internal Medicine Physician
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
2086X0206X
Surgical Oncology Physician
—
—
246R00000X
Pathology Technician
—
—
247100000X
Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0562025
—
IA
05
—
827927600
—
MN
Enumeration date
07/25/2006
Last updated
02/19/2025
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