Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic Breast Health Institute
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GOETSCH (CFO)
(605) 328-6940
Entity
Organization
Contact information
Practice address
5019 S WESTERN AVE, SIOUX FALLS, SD 57108
(605) 328-5244
(605) 328-2867
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CH8874
RR MEDICARE
—
Enumeration date
09/14/2007
Last updated
11/27/2023
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