Individual
GREGORY BOHDAN WOLOSCHYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1001 GALAXY WAY # 400, CONCORD, CA 94520-5725
(925) 225-5837
Mailing address
211 HOPE ST # 74, MOUNTAIN VIEW, CA 94041-1306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA56015
CA
Other
Enumeration date
10/29/2018
Last updated
10/30/2018
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