Individual provider · Type 1 NPI

Shilo Gifford, PA-C

Medical Physician Assistant · Flagstaff, AZ

NPI number 1982988655 Active

Practice location

1325 N Beaver St
Flagstaff, AZ 86001-3121

Call (928) 773-2271 Map

Fax (928) 773-2272

Mailing address

1200 N Beaver St
Flagstaff, AZ 86001-3118

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X5023 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1982988655

Shilo Gifford, PA-C's National Provider Identifier is 1982988655, issued on Sep 29, 2011. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Flagstaff, AZ. The record was last updated on Mar 18, 2024.