Individual
SHILO GIFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1325 N BEAVER ST, FLAGSTAFF, AZ 86001-3121
(928) 773-2271
(928) 773-2272
Mailing address
1200 N BEAVER ST, FLAGSTAFF, AZ 86001-3118
(928) 213-6235
(928) 213-6292
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5023
AZ
Other
Enumeration date
09/29/2011
Last updated
03/18/2024
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