Organization
SANFORD CLINIC
Active
Other names
Sanford Children's Clinic Duncan
Organization subpart
No
Provider details
NPI number
Authorized official
STEVE GOETSCH (CFO)
(605) 328-6940
Entity
Organization
Contact information
Practice address
2502 W. ELK AVE., DUNCAN, OK 73533
(580) 354-5700
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200253670A
—
OK
Enumeration date
06/09/2009
Last updated
09/11/2009
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