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Individual

DR. CAMERON DOUGLAS GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
601 W 2ND ST, BLOOMINGTON, IN 47403-2317
(812) 676-4542
(812) 353-3713
Mailing address
PO BOX 1329, BLOOMINGTON, IN 47402-1329

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01048
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
129M5
BLUECROSS BLUESHIELD
NC
01
801561
BLUE MEDICARE
NC
05
89129M5
NC
01
P00444621
RAILROAD MEDICARE
NC
Enumeration date
06/20/2005
Last updated
01/27/2021
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