Individual
DR. ERIC M GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3328 S NATIONAL AVE, SPRINGFIELD, MO 65807-7305
(417) 771-3147
(417) 771-3256
Mailing address
3328 S NATIONAL AVE, SPRINGFIELD, MO 65807-7305
(417) 771-3147
(417) 771-3256
Taxonomy
Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
2014012495
MO
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
20140124955
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1144532490
—
MO
05
—
200015259
—
MO
Enumeration date
07/01/2010
Last updated
08/21/2024
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