Organization
SANFORD CLINIC
Active
Other names
Sanford Molecular Imaging 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
1205 S GRANGE AVE STE 301, SIOUX FALLS, SD 57105-0410
(605) 328-2170
(605) 328-2171
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
281988100
—
MN
Enumeration date
06/21/2006
Last updated
02/28/2023
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