Dr Thomas Owen Gifford, MD | |
4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 | |
(937) 522-6800 | |
Not Available |
Full Name | Dr Thomas Owen Gifford |
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Gender | Male |
Speciality | Otolaryngology |
Location | 4881 Sugar Maple Dr, Wright Patterson Afb, Ohio |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1538224803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Y00000X | Otolaryngology | 6029575-1205 (Utah) | Primary |
Entity Name | Deaconess Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1619123585 PECOS PAC ID: 3375610116 Enrollment ID: O20080922000145 |
Mailing Address | Practice Location Address |
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Dr Thomas Owen Gifford, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 257-9129 | Dr Thomas Owen Gifford, MD 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433-5529 Ph: (937) 522-6800 |
Dr. Amy Medley Moore, M.D. Otolaryngology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 379-522-6800 | |
Dr. Michael Stephan Xydakis, MD, MSC Otolaryngology Medicare: Medicare Enrolled Practice Location: 88th Medical Group, 4881 Sugar Maple Drive, Bldg 830, Wright Patterson Afb, OH 45433 Phone: 937-656-5434 | |
Matthew Ward, MD Otolaryngology Medicare: Medicare Enrolled Practice Location: 4881 Sugar Maple Dr, Wright Patterson Afb, OH 45433 Phone: 937-522-6800 |