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Individual

ROBERT CLARK GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5577
(951) 697-5578
Mailing address
6405 DAY ST, RIVERSIDE, CA 92507-0901
(951) 697-5577
(951) 697-5578

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E5046
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
ZZZ92058Z
SITE PTAN
CA
Enumeration date
05/06/2010
Last updated
04/14/2025
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