Dr. Gordon E. Wuebbolt M.D.
Ophthalmology Physician in Warren, PA(View on Map)
Full Name
Dr. Gordon Edgar Wuebbolt M.D.
NPI Number
1548234255
NPI Type
Individual Provider
Gender
Male
Enumeration Date
02/17/2006
Specialties
(Taxonomies)Name
Code
207W00000X
207WX0200X
156FX1100X
Primary Taxonomy
Yes
No
No
Licenses
State
New York
Pennsylvania
License Number
219642-1
MD052930L
Contact
Information
Purpose
Mailing
Location
Address
2 FARM COLONY DRIVE
2 FARM COLONY DRIVE
City
Warren
Warren
State
PA
PA
Postal Code
16365-5206
16365-5206
Country
US
US
Telephone Number
(814) 726-2303
(814) 726-2303
Identifiers
Identifier
001464588
02155728
Identifier State
PA
NY
Identifier Issuer
Unknown
Unknown
Health Information Exchange
Endpoint Type
DIRECT
Endpoint
gwuebbolt@cecs.intellechartdirect.net
Endpoint Description
Unknown
Use
Unknown
Content Type
Unknown
Affiliation
N
Endpoint Location
2 Farm Colony DriveWarren, PA163655206US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/13/2021
Provider Address
Other Ophthalmology Physicians in Warren, Pennsylvania:
Beau Froebel MD
Warren, PASpecialties: Ophthalmology Physician (Primary)Student in an Organized Health Care Education/Training Program