# DR. DOMINIC THEODORE GOMEZ LEONARDELLI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1992966493
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171000000X | Military Health Care Provider | — | NULL | — |
| 207X00000X | Orthopaedic Surgery Physician | 53408-20 | WI | — |
| 207X00000X | Orthopaedic Surgery Physician | 55350 | AZ | — |
| 207XS0106X | Orthopaedic Hand Surgery Physician | 53408-20 | WI | Yes |

## Other

- **Enumeration date:** 06/18/2008
- **Last updated:** 06/17/2024
