Individual
MR. GARY LYNN MCAFOOS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
103 W SAINT CLAIR ST, RM 2D, WARREN, PA 16365-2188
(814) 723-2770
(814) 723-0787
Mailing address
103 W SAINT CLAIR ST, RM 2D, WARREN, PA 16365-2188
(814) 723-2770
(814) 723-0787
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD032638E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00051423001
UNIVERA
NY
05
—
0011219220001
—
PA
01
—
MC159174
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/08/2005
Last updated
07/08/2007
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