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Individual

DR. LEONARDO RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1896 E BABBITT LN, SAN LUIS, AZ 85349
(928) 722-6112
(928) 722-6113
Mailing address
PO BOX 1669, SAN LUIS, AZ 85349-1669
(928) 722-6112
(928) 722-6113

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
52439
AZ
208000000X
Pediatrics Physician
ME98691
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
139738
AZ
05
278820900
FL
Enumeration date
05/27/2007
Last updated
09/14/2016
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