Individual
DR. GERALD KEVIN GIFFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2716 E HOPI AVENUE, MESA, AZ 85204-6266
(480) 813-2906
(480) 813-2916
Mailing address
2716 E HOPI AVE, MESA, AZ 85204-6266
(480) 813-2906
(480) 813-2916
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
4996
AZ
111NN0400X
Neurology Chiropractor
Primary
4996
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
498502
—
AZ
Enumeration date
04/27/2006
Last updated
12/09/2015
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