Gary Gene Wofford in Pueblo - Exclusive Provider Organization
Gary Gene Wofford - NPI 1063500544
Gary Gene Wofford is a Exclusive Provider Organization in Pueblo, Colorado. Gary Gene Wofford practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Gary Gene Wofford is 1063500544. The last update date is 2023-03-07.
Gary Gene Wofford's current location address is 1600 N Grand Ave, Pueblo, Colorado. You can contact this provider via phone number 7195621000 and fax number 7195621827. The mailing address for Gary Gene Wofford is 1600 N Grand Ave, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Gene Wofford |
|---|---|
| Address | 1600 N Grand Ave, Pueblo, Colorado |
| Phone Number | 7195621000 |
| Fax Number | 7195621827 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1063500544 |
|---|---|
| Provider Enumeration Date | 2006-10-10 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 1600 N Grand Ave |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810032700 |
| Phone Number | 7195621000 |
| Fax Number | 7195621827 |
Provider's Primary Taxonomy Detail
| Speciality | Exclusive Provider Organization |
|---|---|
| Taxonomy | 302F00000X |
| Licence No | 30398 |
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Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 130398 | CO | -- |
Post Comment/ Review Below
What is the Gary Gene Wofford's unique identification number?
The Gary Gene Wofford has been assigned the NPI (National Provider Identifier) Number 1063500544 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Gary Gene Wofford?
The Gary Gene Wofford is situated at 1600 N Grand Ave, in the city of Pueblo, state of CO, with the zip code 810032700.
What is Gary Gene Wofford's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Gary Gene Wofford is Exclusive Provider Organization, and the taxonomy code that categorizes this field of expertise is 302F00000X.
When was the Gary Gene Wofford's 1063500544 issued?
The Gary Gene Wofford's 1063500544 was issued on 2006-10-10.
When was the information regarding Gary Gene Wofford, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Gary Gene Wofford, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2023-03-07.