Doctor Name: | GREGORY A WOLGAMOTT |
NPI Number: | 1487648432 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | MD00031845 |
Business Practice Address: | 1660 Delaware St Longview, WA - 986322310 |
Business Phone Number: | 3604142800 |
Business Fax Number: | 3604142803 |
Mailing Address: | Po Box 249, LONGVIEW |
State: | WA |
Postal Code: | 986327154 |
Phone Number: | 3604142048 |
Fax Number: | 3605756749 |
NPI Enumeration Date: | 09/06/2005 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207V00000X |
License Number: | MD00031845 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Obstetrics & Gynecology |
Taxonomy Specialization: | |
Taxonomy Definition: | An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |