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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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