Individual
GREGORY A WOLGAMOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1660 DELAWARE ST, LONGVIEW, WA 98632-2310
(360) 414-2800
(360) 414-2803
Mailing address
PO BOX 249, LONGVIEW, WA 98632-7154
(360) 414-2048
(360) 575-6749
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD00031845
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081333
LABOR & IND.
WA
05
—
65461
—
OR
05
—
8157463
—
WA
01
—
8940265
CRIME VICTIMS
WA
Enumeration date
09/06/2005
Last updated
07/09/2007
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