Benjamin Grant Gifford, DO Valid NPI

Individual provider · Internal Medicine Physician · Peoria, AZ

NPI

1518427343

Type

Individual (Type 1)

Primary specialty

Internal Medicine Physician (Internal Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207R00000X

License number

008903 (AZ)

Sex

Male

Sole proprietor

No

Enumerated

2019-03-20

Last updated

2024-05-17