Healthcare Provider Details
I. General information
NPI: 1922215359
Provider Name (Legal Business Name): FRANK J LAUDONIO MD PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/16/2007
Last Update Date: 11/02/2022
Certification Date: 11/02/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
310 N WILMOT RD STE 306
TUCSON AZ
85711-2628
US
IV. Provider business mailing address
310 N WILMOT RD STE 306
TUCSON AZ
85711-2628
US
V. Phone/Fax
- Phone: 520-323-5577
- Fax: 520-323-5547
- Phone: 520-323-5577
- Fax: 520-323-5547
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SANDRA
MARIE
LAUDONIO
Title or Position: MANAGER
Credential:
Phone: 520-323-5577