Individual
GREGORY GERRITT MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 674-6022
(307) 674-5405
Mailing address
1401 W 5TH ST, SHERIDAN, WY 82801-2705
(307) 674-6022
(307) 674-5405
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
4548
AK
207RH0003X
Hematology & Oncology Physician
Primary
9050A
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134828100
—
WY
05
—
MD4548
—
AK
Enumeration date
06/22/2006
Last updated
03/17/2018
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