| NPI | 1699869875 |
|---|---|
| Doing Business As | SANFORD CLINIC TRACY |
| 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 | 103T00000X Psychologist |
| 207P00000X Emergency Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 261QR1300X Clinic/Center, Rural Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2023-11-27 |