| Edith Sanford Breast Specialty Clinic | |
|
1309 W 17th St Ste G01 Sioux Falls SD 57104-4663 | |
| (605) 328-4592 | |
| (605) 328-2867 |
| Full Name | Edith Sanford Breast Specialty Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 1309 W 17th St, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Tony Lee Morrison (VICE PRESIDENT, REVENUE CYCLE) |
| Authorized Official Contact | 6053288380 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edith Sanford Breast Specialty Clinic Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Edith Sanford Breast Specialty Clinic 1309 W 17th St Ste G01 Sioux Falls SD 57104-4663 Ph: (605) 328-4592 |
| NPI Number | 1497163026 |
|---|---|
| Provider Enumeration Date | 07/28/2014 |
| Last Update Date | 11/27/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497163026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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