Individual
MATTHEW STEPHAN GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RNFA
Contact information
Practice address
15173 W LARKSPUR DR, SURPRISE, AZ 85379-8181
(623) 533-3601
Mailing address
15173 W LARKSPUR DR, SURPRISE, AZ 85379-8181
(623) 533-3601
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
145764
AZ
Other
Enumeration date
09/29/2010
Last updated
09/29/2010
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