Organization
DERLIS MARTINO MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERLIS MARTINO MD (PRESIDENT)
(501) 223-2860
Entity
Organization
Contact information
Practice address
9601 LILE DR, SUITE 650, LITTLE ROCK, AR 72205-6321
(501) 223-2860
(501) 223-2258
Mailing address
9601 LILE DR, SUITE 650, LITTLE ROCK, AR 72205-6321
(501) 223-2860
(501) 223-2258
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
—
—
Other
Enumeration date
11/22/2006
Last updated
10/09/2007
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