| NPI | 1093997017 |
|---|---|
| Doing Business As | SANFORD USD 34TH & KIWANIS FAMILY MEDICINE |
| Doing Business As | SANFORD USD 34TH & KIWANIS FAMILY MEDICINE CLINIC |
| Entity Type | Organization |
| Authorized Contact | CAROLYN TUTTLE VP Of Revenue Cycle 605-328-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2025-01-24 |