Organization
GRADY D. GAFFORD MD PC
Active
Other names
Boardman Family EyeCare
Organization subpart
No
Provider details
NPI number
Authorized official
JEANETTE A FRASER (OFFICE MANAGER)
(570) 724-2131
Entity
Organization
Contact information
Practice address
899 CRAFT MASTER ROAD, TOWANDA, PA 18848-8936
(570) 265-3668
(570) 265-8936
Mailing address
15 MEADE STREET, SUITE U-1, WELLSBORO, PA 16901
(570) 265-3668
(570) 265-8936
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
06/01/2021
Last updated
06/01/2021
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