Shawna C Gifford, MD | |
1050 W 10th St, Rolla, MO 65401-2905 | |
(573) 364-9000 | |
(573) 426-3643 |
Full Name | Shawna C Gifford |
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Gender | Female |
Speciality | Pediatrics |
Location | 1050 W 10th St, Rolla, Missouri |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598053498 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208000000X | Pediatrics | 2014008977 (Missouri) | Primary |
Entity Name | Phelps County Regional Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891766051 PECOS PAC ID: 2860391158 Enrollment ID: O20040106000405 |
Entity Name | Pcrmc Medical Group, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124237227 PECOS PAC ID: 1557454063 Enrollment ID: O20070829000437 |
Mailing Address | Practice Location Address |
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Shawna C Gifford, MD 1050 W 10th St, Attn: Executive Director Of Physician Clincs, Rolla, MO 65401-2905 Ph: (573) 364-9000 | Shawna C Gifford, MD 1050 W 10th St, Rolla, MO 65401-2905 Ph: (573) 364-9000 |
James T Burdett, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-426-6694 | |
Dr. Elizabeth C Dodd, D.O. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-341-4284 | |
Jonathan Lee Minor, M.D. Pediatrics Medicare: Medicare Enrolled Practice Location: 910 W 10th St, Rolla, MO 65409 Phone: 573-342-4284 Fax: 573-341-6967 | |
Dr. Sean A. Mcenaney, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1100 W 10th St, Suite 175, Rolla, MO 65401 Phone: 573-341-9163 Fax: 573-368-4248 | |
Shruti Sinha, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1050 W 10th St, Rolla, MO 65401 Phone: 573-364-9000 Fax: 573-202-2484 | |
Dr. Jennifer Anne Barclay, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 1605 Martin Springs Dr Ste 250, Rolla, MO 65401 Phone: 573-458-6363 |