Individual
DR. PHILIP SCOTT GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1003 BELLEFONTAINE AVE STE 125, LIMA, OH 45804
(419) 998-8207
(419) 998-8216
Mailing address
1001 BELLEFONTAINE AVE, LIMA, OH 45804-2800
(419) 998-4575
(419) 998-4514
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
35.131215
OH
208600000X
Surgery Physician
Primary
P6818
TX
2086S0127X
Trauma Surgery Physician
35.131215
OH
2086X0206X
Surgical Oncology Physician
35.131215
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001082699
BCBS
OH
05
—
0219492
—
OH
05
—
327562003
—
TX
Enumeration date
05/23/2007
Last updated
12/13/2021
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