| Sanford Clinic Family Medicine Brandon | |
|
1105 E Holly Blvd Brandon SD 57005-1359 | |
| (605) 582-5820 | |
| (605) 582-5823 |
| Full Name | Sanford Clinic Family Medicine Brandon |
|---|---|
| Speciality | Family Medicine |
| Location | 1105 E Holly Blvd, Brandon, 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 |
|---|---|
| Sanford Clinic Family Medicine Brandon Po Box 5074 Sioux Falls SD 57117-5074 Ph: (605) 328-6585 | Sanford Clinic Family Medicine Brandon 1105 E Holly Blvd Brandon SD 57005-1359 Ph: (605) 582-5820 |
| NPI Number | 1073536066 |
|---|---|
| Provider Enumeration Date | 07/25/2006 |
| Last Update Date | 06/26/2020 |
| Certification Date | 06/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073536066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| 363A00000X | Physician Assistant | () | Secondary |
| 363L00000X | Nurse Practitioner | () | Secondary |
Avera Medical Group Mcgreevy Brandon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1101 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-3853 Fax: 605-582-3855 |
Chirosport Brandon, PC Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 125 E Holly Blvd, Brandon, SD 57005 Phone: 605-582-8800 |