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NPI Code Detail

MEDICARE: RENE H GIFFORD PHD

MEDICARE: RENE H GIFFORD PHD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1231H00000XAudiologist6375OK

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1609942796
Entity Type Code : Individual
Provider Name (Legal Business Name) : RENE H GIFFORD PHD
Provider Business Mailing Address
First Line : 11500 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-4625
Country : US
Telephone Number : 405-548-4300
Fax Number : 405-548-4350
Provider Business Practice Location Address
First Line : 11500 N PORTLAND AVE
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73120-4625
Country : US
Telephone Number : 405-548-4300
Fax Number : 405-548-4350
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 06/12/2025

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Directions to “ RENE H GIFFORD PHD” Practice Location

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