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Organization

ANGELO J. LEONI, M.D., A MEDICAL CORP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANGELO J. LEONI M.D. (PRESIDENT)
(707) 762-4583
Entity
Organization

Contact information

Practice address
1116 B ST, PETALUMA, CA 94952-4054
(707) 762-4583
(707) 762-2145
Mailing address
1116 B ST, PETALUMA, CA 94952-4054
(707) 762-4583
(707) 762-2145

Taxonomy

Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
00G1500
CA

Other

Enumeration date
11/30/2009
Last updated
11/30/2009
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