Individual
DR. LEONARD ANTHONY MUSCOLINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
1607 W BETHANY HOME RD, PHOENIX, AZ 85015-2507
(602) 295-4103
Mailing address
PO BOX 5599, SCOTTSDALE, AZ 85261-5599
(602) 295-4103
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
559
AZ
152W00000X
Optometrist
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
18242
UNITED HEALTH-SPECTERA
AZ
01
—
26117
AVESIS
AZ
Enumeration date
02/06/2007
Last updated
07/08/2007
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