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Organization

SANFORD MEDICAL CENTER FARGO

Active
Other names
Sanford South University Eye Center & Optical
Organization subpart
No

Provider details

NPI number
Authorized official
TONY LEE MORRISON (VP REVENUE CYCLE)
(605) 328-8380
Entity
Organization

Contact information

Practice address
1717 UNIVERSITY DR S, FARGO, ND 58103-4939
(701) 461-5194
(701) 461-5196
Mailing address
PO BOX 2168, FARGO, ND 58107-2168
(701) 234-2119
(701) 234-3471

Taxonomy

Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
876461100
MN
Enumeration date
07/19/2006
Last updated
09/11/2024
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