Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 35.131215 | OH |
N | 208600000X | Surgeon | 35.131215 | OH |
Y | 208200000X | Surgeon | P6818 | TX |
Y | 208600000X | Surgeon | P6818 | TX |
N | 2086S0127X | Trauma Surgeon | 35.131215 | OH |
N | 2086X0206X | Surgical Oncologist | 35.131215 | OH |
NPI | 1275743502 |
---|---|
Provider Name | Dr. Philip Scott Gafford |
First Address | Lima, OH 45804-2800 |
Second Address | Lima, OH 45804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 13/12/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000001082699 | BCBS (01) | OH |
0219492 | (05) | OH |
327562003 | (05) | TX |