NPI 1356925358

Ethan James Gifford

Practitioner Peer Specialist Franklin Furnace, OH

Practice location

Address: 303 Gervais Rd, Franklin Furnace, OH 45629-8742
Phone: (740) 259-7000
Fax: (740) 480-5201

Registered specialties

Peer Specialist Primary

Other Service Providers Taxonomy 175T00000X

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Registry record

NPI: 1356925358
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 May 2021
Record last updated: 6 May 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.