Individual
GREG VALCESCHINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1680 BUNYAN RD, SUSANVILLE, CA 96130-3133
(530) 257-5730
Mailing address
PO BOX 270130, SUSANVILLE, CA 96127-0003
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
G060595
CA
Other
Enumeration date
02/22/2007
Last updated
11/14/2007
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