Individual
DR. GRADY D. GAFFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
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
207W00000X
Ophthalmology Physician
Primary
MD025213E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1015038670001
—
PA
Enumeration date
08/11/2006
Last updated
05/01/2013
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