Individual
DR. KATY ALYSE MARINO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 520, LITTLE ROCK, AR 72205-7101
(501) 686-8211
(501) 686-7861
Mailing address
4301 W MARKHAM ST # 783, LITTLE ROCK, AR 72205-7199
(501) 686-8000
(501) 526-5148
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
50417
KY
208600000X
Surgery Physician
E-12381
AR
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
E-12381
AR
Other
Enumeration date
06/13/2012
Last updated
02/14/2024
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