Organization
GRADY D. GAFFORD MD PC
Active
Organization
GRADY D. GAFFORD MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. COLLEEN K. STRAHOTA (ADMINISTRATOR)
(570) 724-2131
Entity
Organization
Contact information
Practice address
15 MEADE ST, SUITE 1, WELLSBORO, PA 16901-1813
(570) 724-2131
(570) 724-5471
Mailing address
15 MEADE ST, SUITE 1, WELLSBORO, PA 16901-1813
(570) 724-2131
(570) 724-5471
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OEG000806
PA
207W00000X
Ophthalmology Physician
Primary
MD025213E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001045419
—
PA
Enumeration date
08/11/2006
Last updated
10/07/2009
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