Individual
GABRIEL WOFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3 AUDUBON PLAZA DR STE 430, LOUISVILLE, KY 40217-1319
(502) 636-4900
(502) 636-4901
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
4775
WI
363A00000X
Physician Assistant
AMD 629
HI
363A00000X
Physician Assistant
Primary
TC923
KY
Other
Enumeration date
07/10/2015
Last updated
10/29/2020
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