IndividualActive
Gary Wofford, M.D.
NPI 1063500544 · Exclusive Provider Organization · Pueblo, CO
Provider details
- NPI number
- 1063500544
- Entity type
- Individual
- Primary specialty
- Exclusive Provider OrganizationManaged Care Organizations
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 30398 (CO)
Practice location
1600 N Grand Ave
#230
Pueblo, CO 81003-2700
Phone: (719) 562-1000
Fax: (719) 562-1827
Mailing address
1600 N Grand Ave
Pueblo, CO 81003-2700
Registry dates
- Enumerated
- 2006-10-10
- Last updated
- 2023-03-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.