Individual
WESLEY GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3340 PROVIDENCE DR STE 366, ANCHORAGE, AK 99508
(907) 563-3026
Mailing address
3340 PROVIDENCE DR STE 366, ANCHORAGE, AK 99508-4627
(907) 563-3026
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
129285
AK
208000000X
Pediatrics Physician
ML.60562586
WA
208M00000X
Hospitalist Physician
Primary
129285
AK
Other
Enumeration date
03/27/2015
Last updated
01/30/2019
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