| NPI | 1386072569 |
|---|---|
| Doing Business As | SANFORD CHILDREN'S 69TH & LOUISE CLINIC |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2023-11-27 |