| |
1309 W 17th St Ste 101 Sioux Falls SD 57104-8805 | |
(605) 328-8000 | |
(605) 328-8001 |
Full Name | |
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Speciality | Internal Medicine - Hematology & Oncology |
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 |
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Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | 1309 W 17th St Ste 101 Sioux Falls SD 57104-8805 Ph: (605) 328-8000 |
NPI Number | 1770518037 |
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Provider Enumeration Date | 07/12/2006 |
Last Update Date | 11/27/2023 |
Identifier | Type | State | Issuer |
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1770518037 | NPI | - | NPPES |
0537886 | Medicaid | IA | |
281988100 | Medicaid | MN |
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