Individual
MR. THOMAS CARMINE VINCENT MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
19555 N 59TH AVE, GLENDALE, AZ 85308-6813
(623) 572-3200
Mailing address
2725 E MINE CREEK RD UNIT 1241, PHOENIX, AZ 85024-6271
(602) 291-7331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
10348
AZ
Other
Enumeration date
08/06/2024
Last updated
08/06/2024
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