Organization · Type 2 NPI

Sanford Clinic

Gynecologic Oncology Physician · Sioux Falls, SD

NPI number 1396089900 Active

Practice location

1309 W 17th St Ste 102
Sioux Falls, SD 57104-4663

Call (605) 312-3250 Map

Fax (605) 312-3251

Mailing address

PO Box 5074
Sioux Falls, SD 57117-5074

Specialties and licenses

Taxonomy	Code	License
Gynecologic Oncology Physician Primary	207VX0201X	None listed
Nurse Practitioner	363L00000X	None listed

Gynecologic Oncology Physician: An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.

2 other providers at this address

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NPI record

NPI: 1396089900
Entity type: Organization (Type 2)
Issued: Nov 20, 2012
Last updated: Nov 27, 2023
Status: Active

Other names

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Sanford Gynecologic Oncology Clinic · doing business as
Sanford Gynecologic Oncology Clinic · doing business as

Authorized official

Tony Lee Morrison
Vice President, Revenue Cycle
(605) 328-8380

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1396089900

Sanford Clinic's National Provider Identifier is 1396089900, issued on Nov 20, 2012. The primary taxonomy on file is Gynecologic Oncology Physician (207VX0201X), and the practice location is in Sioux Falls, SD. The record was last updated on Nov 27, 2023.