Provider Demographics
NPI:1922215359
Name:FRANK J LAUDONIO MD PC
Entity Type:Organization
Organization Name:FRANK J LAUDONIO MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LAUDONIO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:520-323-5577
Mailing Address - Street 1:310 N WILMOT RD STE 306
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85711-2628
Mailing Address - Country:US
Mailing Address - Phone:520-323-5577
Mailing Address - Fax:520-323-5547
Practice Address - Street 1:310 N WILMOT RD STE 306
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85711-2628
Practice Address - Country:US
Practice Address - Phone:520-323-5577
Practice Address - Fax:520-323-5547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-16
Last Update Date:2022-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ167016Medicaid