# DR. ERIC M GIFFORD

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1144532490
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QA0505X | Adult Medicine Physician | 2014012495 | MO | — |
| 207QS0010X | Sports Medicine (Family Medicine) Physician | 20140124955 | MO | Yes |

## Other

- **Enumeration date:** 07/01/2010
- **Last updated:** 08/21/2024