| NPI | 1699055996 |
|---|---|
| Doing Business As | SANFORD SOUTH UNIVERSITY |
| Entity Type | Organization |
| Authorized Contact | MARTHA LECLERC Vice President 701-234-6248 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207L00000X Anesthesiology | |
| 207LP2900X Anesthesiology Pain Medicine | |
| 207Q00000X Family Medicine | |
| 208000000X Pediatrics | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 2085R0202X Radiology Diagnostic Radiology | |
| Enumeration Date | 2011-08-18 |
| Last Update Date | 2023-11-27 |