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Dr. Gordon Edgar Wuebbolt, MD
Ophthalmology Physician in Warren, Pennsylvania
NPI 1548234255

Gordon Edgar Wuebbolt is a Ophthalmology Physician based in Warren, PA. Gordon Edgar Wuebbolt practices in Warren, PA and has the professional credentials of MD. The NPI Number for Gordon Edgar Wuebbolt is 1548234255 and holds a License No. MD052930L (Pennsylvania).

The current practice location address for Gordon Edgar Wuebbolt is 2 Farm Colony Drive, Warren, PA and can be reached out via phone at 814-726-2303 and via fax at 814-726-7459.

Location: 2 Farm Colony Drive, Warren, PA, 16365-5206
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1548234255
Provider Name
Gordon Edgar Wuebbolt
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
2 Farm Colony Drive, Warren, PA, 16365-5206
Phone Number
814-726-2303
Fax Number
814-726-7459
Provider Enumeration Date
02/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001464588 05 PA
02155728 05 NY
institution
Provider Business Practice Location Address Details
Address
2 Farm Colony Drive
City
Warren
State
Pennsylvania
Zip
16365-5206
Phone Number
814-726-2303
Fax Number
814-726-7459
person
Provider Business Mailing Address Details
Address
2 Farm Colony Drive
City
Warren
State
Pennsylvania
Zip
16365-5206
Phone Number
814-726-2303
Fax Number
814-726-7459
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Ophthalmic
Taxonomy
156FX1100X
License No.
219642-1 (New York)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
-
Taxonomy
207W00000X
License No.
219642-1 (New York)
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Ophthalmology
Speciality
Ophthalmic Plastic and Reconstructive Surgery
Taxonomy
207WX0200X
License No.
MD052930L (Pennsylvania)
Definition
A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.
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