NPI 1063500544

Gary Gene Wofford, MD

Practitioner Exclusive Provider Organization Pueblo, CO

Practice location

Address: 1600 N Grand Ave #230, Pueblo, CO 81003-2700
Phone: (719) 562-1000
Fax: (719) 562-1827

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 30398 (CO)

Other Exclusive Provider Organization providers in Colorado →

Registry record

NPI: 1063500544
Entity type: Individual
Sex (as registered): Male
NPI issued: 10 Oct 2006
Record last updated: 7 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.