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DR. LEONARD VINCENT MASTRODOMENICO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1800 BUCKNER ST, SHREVEPORT, LA 71101-4447
(318) 222-1149
Mailing address
451 DUNMORELAND CIR, SHREVEPORT, LA 71106-6101
(318) 222-1149

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
06900R
LA

Other

Enumeration date
03/28/2006
Last updated
11/01/2007
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