John P Marino MD LLC
Internal Medicine in Saint Louis, MO. Organization (NPI-2).
NPI number1124359237
StatusActive
Last updated in NPPESJan 29, 2010
Details
- NPI
- 1124359237
- Entity type
- Organization (NPI-2)
- Legal business name
- John P Marino MD LLC
- Organization subpart
- No
- Enumeration date
- Jan 29, 2010
- Last updated
- Jan 29, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207R00000X | Internal Medicine | R2C27 | MO | Yes |
Practice location
6651 Chippewa StSuite 301
Saint Louis, MO 63109-2538
Phone 314-842-5670 · Fax 314-842-2889
Mailing address
6651 Chippewa StSuite 301
Saint Louis, MO 63109-2538
Phone 314-842-5670 · Fax 314-842-2889
Authorized official
John P Marino
Owner
3148425670
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