Individual
DANIEL MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
128 W MARLETTE AVE, PHOENIX, AZ 85013-1524
(480) 892-5460
(480) 892-5452
Mailing address
PO BOX 16303, PHOENIX, AZ 85011-6303
(602) 369-1941
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
22745
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165474
—
AZ
Enumeration date
05/03/2006
Last updated
01/10/2014
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