Individual
DR. MICHAEL JUSTIN MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5777 E MAYO BLVD, PHOENIX, AZ 85054-4502
(480) 310-8000
Mailing address
13400 E SHEA BLVD, SCOTTSDALE, AZ 85259-5452
(480) 301-8000
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
54246
AZ
207Y00000X
Otolaryngology Physician
Q5862
TX
Other
Enumeration date
03/22/2011
Last updated
09/10/2020
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