Gary Gene Wofford M.D.

NPI 1063500544 - Exclusive Provider Organization - 302F00000X

NPI Details
NPI 1063500544
Gender Male
Enumeration Date 10/10/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
1600 N GRAND AVE
#230
PUEBLO CO, 81003-2700, US
Phone (719) 562-1000
Fax (719) 562-1827
Business Location
1600 N GRAND AVE
#230
PUEBLO CO, 81003-2700, US
Phone
Fax
Toxanomy
Taxonomy Code 302F00000X
License State Colorado
License Number 30398
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According to our database, Gary Gene Wofford M.D. NPI is 1063500544, taxonomy code is 302F00000X and license number is 30398, license state is located at Colorado. Gary Gene Wofford M.D. physically located at 1600 N Grand Ave, Pueblo CO, 81003-2700. NPI Number Gary Gene Wofford M.D. has the Individual type.

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1063500544 NPI number is provided on an as is basis without warranty of any kind. 1063500544 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Gene Wofford M.D. are for informational purposes only.