| NPI | 1104255835 |
|---|---|
| Doing Business As | SANFORD 69TH & LOUISE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2013-11-04 |
| Last Update Date | 2023-11-27 |