Individual
KAREN D GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338
(623) 207-3062
(623) 932-8592
Mailing address
14200 W CELEBRATE LIFE WAY, GOODYEAR, AZ 85338
(623) 207-3832
(623) 932-8592
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
887581
—
363A00000X
Physician Assistant
Primary
6247
AZ
363A00000X
Physician Assistant
PA.0003585
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
95509291
—
CO
Enumeration date
11/20/2007
Last updated
05/17/2016
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