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Contact Information

ERIC M GIFFORD, MD
3328 S NATIONAL AVE
SPRINGFIELD, MO65807-7305
 Phone: 417-771-3147
 Fax: 417-771-3256
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine - Sports Medicine

207QS0010X 08 Physician/Family Practice
 

Adult Medicine

207QA0505X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for ERIC M GIFFORD · (Male)

NPI # 1144532490
Status Active
Credentials MD
Entity Individual
Enumeration date 07/01/2010
Last updated 08/21/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • MO License # 2014012495
  • MO License # 20140124955
  • MO Medicaid 1144532490
  • MO Medicaid 200015259
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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