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Organization

JOHN P MARINO MD LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN P MARINO MD (OWNER)
(314) 842-5670
Entity
Organization

Contact information

Practice address
6651 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2538
(314) 842-5670
(314) 842-2889
Mailing address
6651 CHIPPEWA ST, SUITE 301, SAINT LOUIS, MO 63109-2538
(314) 842-5670
(314) 842-2889

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
R2C27
MO

Other

Enumeration date
01/29/2010
Last updated
01/29/2010
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