| John P Marino Md Llc | |
|
6651 Chippewa St Suite 301 Saint Louis MO 63109-2538 | |
| (314) 842-5670 | |
| (314) 842-2889 |
| Full Name | John P Marino Md Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 6651 Chippewa St, Saint Louis, Missouri |
| Authorized Official Name and Position | John P Marino (OWNER) |
| Authorized Official Contact | 3148425670 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John P Marino Md Llc 6651 Chippewa St Suite 301 Saint Louis MO 63109-2538 Ph: (314) 842-5670 | John P Marino Md Llc 6651 Chippewa St Suite 301 Saint Louis MO 63109-2538 Ph: (314) 842-5670 |
| NPI Number | 1124359237 |
|---|---|
| Provider Enumeration Date | 01/29/2010 |
| Last Update Date | 01/29/2010 |
| Medicare PECOS PAC ID | 2365571692 |
|---|---|
| Medicare Enrollment ID | O20100526000007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124359237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | R2C27 (Missouri) | Primary |
| Provider Name | John Patrick Marino |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922112523 PECOS PAC ID: 9436288776 Enrollment ID: I20100526000043 |
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