Individual
MR. LEONID ALEX PUGACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
2970 HILLTOP MALL RD, SUITE 200, RICHMOND, CA 94806-1947
(510) 724-4586
(510) 724-9247
Mailing address
1055 DELLWOOD CT, BRENTWOOD, CA 94513-1841
(510) 724-4586
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
18605
CA
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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