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Individual
JASON CRAIG GIFFORD
Active
Individual
JASON CRAIG GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA66063
CA
363A00000X
Physician Assistant
PA9110358
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200617250A
—
KS
Enumeration date
08/24/2009
Last updated
06/23/2026
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