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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. GORDON EDGAR WUEBBOLT, M.D.

Active Sole Proprietor

DR. GORDON EDGAR WUEBBOLT, M.D. is a Ophthalmology healthcare provider located in WARREN, Pennsylvania. NPI 1548234255 is currently active in the NPPES registry. Verify at CMS.

Ophthalmology · WARREN, PA

Registration Details

NPI Number
1548234255
Provider Type
Individual
Gender
Male
NPI Issued
Feb 17, 2006 (20.529625482671 yrs)
Last Updated
Oct 13, 2021
Licenses
MD052930L (PA)
219642-1 (NY)
219642-1 (NY)
219642-1 (NY)
MD052930L (PA)
Sole Proprietor
Yes

Practice Information

Address
2 FARM COLONY DRIVE
WARREN, PA, 163655206
Browse PA providers · Browse ZIP 16365
Phone
8147262303
Fax
8147267459
Primary Specialty
Ophthalmology
207W00000X
Additional Specialty
156FX1100X
Additional Specialty
Ophthalmology
Additional Specialty
207WX0200X
Additional Specialty
207WX0200X

Other Ophthalmology Providers in WARREN, PA

Name Credential NPI
DR. JULIETTE MARIE STENZ M.D. 1396908877
DR. GEORGE MICHAEL WATSON M.D. 1316275092
BEAU FROEBEL MD 1780115493
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.