Individual
DR. DIEGO MASTRONARDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3330
(270) 936-6030
Mailing address
201 PARK ST, BOWLING GREEN, KY 42101-1708
(270) 783-3330
(270) 936-6030
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
33638
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64336381
—
KY
Enumeration date
06/21/2005
Last updated
05/17/2019
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