| NPI | 1265461065 |
|---|---|
| Doing Business As | SANFORD 4TH AND SYCAMORE FAMILY MEDICINE |
| Doing Business As | SANFORD CLINIC FAMILY MEDICINE 4TH & SYCAMORE |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2085P0229X Radiology, Pediatric Radiology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2020-06-30 |