Individual
ERNESTO MARRERO JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
(RT) R (MR)
Contact information
Practice address
167 NORTH MAIN STREET, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Mailing address
P.O. BOX 600, TUBA CITY, AZ 86045-0600
(928) 283-2501
(928) 283-2677
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
Primary
16607
AZ
247100000X
Radiologic Technologist
CRT12622
FL
Other
Enumeration date
10/12/2012
Last updated
10/12/2012
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