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Physicians Otolaryngology Plastic Surgery within the Head & Neck

Provider NPI: 1659303972

Organization Information:
Organization Name:  SANFORD CLINIC
Organization is not Subpart
Authorized Official:  STEVE W GOETSCH  CFO  605-328-6940

Practice Location:
1310 W 22ND ST  SIOUX FALLS, SD 57105-1501 US
Tel: 605-328-8200  Fax: 605-328-8201

Business Mailing Address:
PO BOX 5074  SIOUX FALLS, SD 57117-5074 US
Tel: 605-328-6585  Fax: 605-328-6512

NPI Information:
NPI: 1659303972
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Plastic Surgery within the Head & Neck

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 207Y00000X





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