Individual
DR. JOHN ROBERT MARIETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6101 BALCONES DR STE 300, AUSTIN, TX 78731-4277
(512) 482-0045
(512) 476-9892
Mailing address
6101 BALCONES DR STE 300, AUSTIN, TX 78731-4277
(512) 482-0045
(512) 476-9892
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
E8690
TX
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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