National Provider Identifier

Gary B Tebor, M.D.

Gary B Tebor, M.D. is listed in the NPPES registry with a primary specialty of Pediatric Orthopaedic Surgery Physician in Rochester, NY and a listed phone number of (585) 295-5476.

NPI 1679515399Rochester, NYPediatric Orthopaedic Surgery Physician

Profile Overview

NPI
1679515399
Provider Type
Individual
Primary Specialty
Pediatric Orthopaedic Surgery Physician
Enumeration Date
June 11, 2006
Last Updated
April 13, 2011

Practice Location

  • 30 Hagen Dr Ste 220
  • Rochester, NY 14625-2658

Phone: (585) 295-5476

Specialties

  • Pediatric Orthopaedic Surgery Physician (207XP3100X)
Full Record
NPI
1679515399
Entity Type
Individual
Last Name
Tebor
First Name
Gary
Middle Name
B
Name Prefix
Dr.
Credential
M.D.
Mailing Street Address
30 Hagen Dr Ste 220
Mailing City
Rochester
Mailing State
NY
Mailing ZIP Code
14625-2658
Mailing Country
US
Mailing Phone
(585) 295-5476
Mailing Fax
(585) 248-5106
Practice Street Address
30 Hagen Dr Ste 220
Practice City
Rochester
Practice State
NY
Practice ZIP Code
14625-2658
Practice Country
US
Practice Phone
(585) 295-5476
Practice Fax
(585) 248-5106
Enumeration Date
June 11, 2006
Last Updated
April 13, 2011
Sex
Male
Sole Proprietor
No
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Pediatric Orthopaedic Surgery Physician (207XP3100X)