NPI | 1396089900 |
---|---|
Doing Business As | SANFORD GYNECOLOGIC ONCOLOGY CLINIC |
Entity Type | Organization |
Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
Organization Subpart ? | No |
Primary Taxonomy | 207VX0201X Obstetrics & Gynecology Gynecologic Oncology |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2012-11-20 |
Last Update Date | 2023-11-27 |