| NPI | 1033147046 |
|---|---|
| Doing Business As | SANFORD CHILDREN'S SOUTHWEST CLINIC |
| Entity Type | Organization |
| Authorized Contact | MARTHA K LECLERC VP 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2023-11-27 |