Individual
DR. LEONARD ANGELO METILDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4351 E LOHMAN AVE, SUITE 200, LAS CRUCES, NM 88011-8259
(575) 522-4940
(575) 522-4932
Mailing address
4351 E LOHMAN AVE, SUITE 200, LAS CRUCES, NM 88011-8259
(575) 522-4940
(575) 522-4932
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
157671
NY
174400000X
Specialist
Primary
MD2009-0745
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
44778058
—
NM
Enumeration date
09/28/2006
Last updated
04/15/2014
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