Individual
GERALD MARINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
7233 E BASELINE RD STE 126, MESA, AZ 85209-5007
(480) 699-2222
(480) 699-3033
Mailing address
7233 E BASELINE RD STE 126, MESA, AZ 85209-5007
(480) 699-2222
(480) 699-3033
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
5588
AZ
363AS0400X
Surgical Physician Assistant
5588
AZ
Other
Enumeration date
11/04/2013
Last updated
11/04/2013
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