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Individual

DR. CHRISTOPHER MICHAEL GIFFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
2600 MILLER ST, BETHANY, MO 64424-2701
(660) 425-2211
(660) 425-5369
Mailing address
4321 NE 88TH ST, KANSAS CITY, MO 64156-5613
(816) 527-6553

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2014033398
MO
207Q00000X
Family Medicine Physician
DO-05443
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
DO-05443
IOWA STATE MEDICAL BOARD
IA
Enumeration date
04/10/2013
Last updated
12/24/2019
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