Organization
SANFORD CLINIC
Active
Other names
Sanford Clinic Radiology
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
1210 W 18TH ST, STE LL03, SIOUX FALLS, SD 57104-4654
(605) 328-1410
(605) 328-1412
Mailing address
PO BOX 5074, SIOUX FALLS, SD 57117-5074
(605) 328-6585
Taxonomy
Speciality
Code
Description
License number
State
2085B0100X
Body Imaging Physician
—
—
2085N0700X
Neuroradiology Physician
—
—
2085N0904X
Nuclear Radiology Physician
—
—
2085P0229X
Pediatric Radiology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0537886
—
IA
05
—
281988100
—
MN
Enumeration date
07/11/2006
Last updated
11/27/2023
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