Derlis Martino Md Pa

NPI 1063587269 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1063587269
Enumeration Date 11/22/2006
Last Updated 10/09/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name DERLIS DERLIS
Position PRESIDENT
Phone (501) 223-2860
Fax (501) 223-2258
Practice Location
9601 LILE DR
SUITE 650
LITTLE ROCK AR, 72205-6321, US
Phone (501) 223-2860
Fax (501) 223-2258
Business Location
9601 LILE DR
SUITE 650
LITTLE ROCK AR, 72205-6321, US
Phone (501) 223-2860
Fax (501) 223-2258
Toxanomy
Taxonomy Code 208G00000X
License State
License Number
Remove 1063587269 NPI Number
 

According to our database, Derlis Martino Md Pa NPI is 1063587269, taxonomy code is 208G00000X Derlis Martino Md Pa physically located at 9601 Lile Dr, Little Rock AR, 72205-6321. NPI Number 1033115704 has the healthcare provider type.

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1063587269 NPI number is provided on an as is basis without warranty of any kind. 1063587269 is maintained by the National Plan & Provider Enumeration System. The contents of Derlis Martino Md Pa are for informational purposes only.