| NPI | 1720337504 |
|---|---|
| Doing Business As | SANFORD CHILDREN'S CLINIC KLAMATH FALLS |
| Entity Type | Organization |
| Authorized Contact | STEVE GOETSCH CFO 605-328-6940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2013-08-08 |