Grady D. Gafford MD PC
Ophthalmology in Wellsboro, PA. Organization (NPI-2).
NPI number1184635286
StatusActive
Last updated in NPPESOct 7, 2009
Details
- NPI
- 1184635286
- Entity type
- Organization (NPI-2)
- Legal business name
- Grady D. Gafford MD PC
- Organization subpart
- No
- Enumeration date
- Aug 11, 2006
- Last updated
- Oct 7, 2009
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207W00000X | Ophthalmology | md025213e | PA | Yes |
| 152W00000X | Optometrist | oeg000806 | PA |
Practice location
15 Meade StSuite 1
Wellsboro, PA 16901-1813
Phone 570-724-2131 · Fax 570-724-5471
Mailing address
15 Meade StSuite 1
Wellsboro, PA 16901-1813
Phone 570-724-2131 · Fax 570-724-5471
Authorized official
Colleen K. Strahota
Administrator
5707242131
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