Provider Demographics
NPI:1679558456
Name:LAUDONIO, FRANK JOHN JR (MD)
Entity type:Individual
Prefix:DR
First Name:FRANK
Middle Name:JOHN
Last Name:LAUDONIO
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:8140 E GALINDA DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85750-2419
Mailing Address - Country:US
Mailing Address - Phone:520-349-5703
Mailing Address - Fax:520-323-5547
Practice Address - Street 1:8140 E GALINDA DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-2419
Practice Address - Country:US
Practice Address - Phone:520-349-5703
Practice Address - Fax:520-323-5547
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-14
Last Update Date:2023-05-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ22250207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ167016Medicaid
AZ167016Medicaid
AZ100489Medicare ID - Type Unspecified