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Shaun Michael Gifford, MD
Vascular Surgery Physician in Travis Afb, California
NPI 1558576918

Shaun Michael Gifford is a Vascular Surgery Physician based in Travis Afb, CA and is specialized in Vascular Surgery. Shaun Michael Gifford practices in Travis Afb, CA and has the professional credentials of MD. The NPI Number for Shaun Michael Gifford is 1558576918 and holds a License No. 149477 (California).

The current practice location address for Shaun Michael Gifford is 101 Bodin Cir, Travis Afb, CA and can be reached out via phone at 707-423-5215.

Location: 101 Bodin Cir, Travis Afb, CA, 94535-1809
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1558576918
Provider Name
Shaun Michael Gifford
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
101 Bodin Cir, Travis Afb, CA, 94535-1809
Phone Number
707-423-5215
Fax Number
Provider Enumeration Date
05/11/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ENROLLED 05 MN
ENROLLED 05 IA
P01088750 01 MN RAILROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-5215
Fax Number
person
Provider Business Mailing Address Details
Address
101 Bodin Cir
City
Travis Afb
State
California
Zip
94535-1809
Phone Number
707-423-5215
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Surgery
Speciality
Vascular Surgery
Taxonomy
2086S0129X
License No.
149477 (California)
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
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