Organization Name: | SANFORD CLINIC |
NPI Number: | 1396937322 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | STEVE GOETSCH (CFO) |
Mailing Address: | 118 N 7th Ave Sheldon |
State: | IA US |
Postal Code: | 512011235 |
Phone Number: | 7123246366 |
Fax Number: | 7123246373 |
NPI Enumeration Date: | 08/14/2007 |
NPI Last Update Date: | 12/04/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2085R0202X |
License Number: | 02844 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Radiology |
Taxonomy Specialization: | Diagnostic Radiology |
Taxonomy Definition: | A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |