Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Gary Gene Wofford, MD

Individual provider Exclusive Provider Organization · NPI 1063500544

Gary Gene Wofford, MD is an Exclusive Provider Organization in Pueblo, Colorado. Practices as a sole proprietor. Licensed in Colorado.

Licensed in
CO
In the registry since
2006
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1600 N Grand Ave #230
Pueblo, CO 81003-2700
Phone: (719) 562-1000
Fax: (719) 562-1827
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Exclusive Provider Organization (primary) Taxonomy 302F00000X · Licence 30398 (CO)

Record details

NPI number1063500544
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 10, 2006
Last updated in NPPESMarch 7, 2023
Mailing address1600 N Grand Ave, 230, Pueblo, CO 81003-2700

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