Individual
DR. JOSEPH MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
612 N 13TH ST, SUITE F, ARTESIA, NM 88210-1112
(575) 736-8282
Mailing address
PO BOX 629, ARTESIA, NM 88211-0629
(575) 832-8282
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
136; ANKLE LIC 14
MT
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
333
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000014881
BLUE CROSS BLUE SHIELD
MT
05
—
1679545172
—
MT
01
—
480024176
MEDICARE RAILROAD
—
Enumeration date
02/07/2006
Last updated
06/16/2021
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