Individual
DR. GRZEGORZ SEBASTIAN PUCHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
7300 N FRESNO ST, FRESNO, CA 93720-2941
(559) 448-4500
Mailing address
6036 LAUGHING CREEK ST, LAS VEGAS, NV 89148-5518
(702) 466-5630
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14038A
WY
207R00000X
Internal Medicine Physician
20A23057
CA
207R00000X
Internal Medicine Physician
S9053
TX
207R00000X
Internal Medicine Physician
TL6832
WY
208M00000X
Hospitalist Physician
Primary
S9053
TX
Other
Enumeration date
06/11/2018
Last updated
02/24/2026
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