PETER JOSEPH MARINICH

FORT DEFIANCE, AZ
NPI1407931702
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NM  R48460)
Enumeration Date2006-10-26
Last Update Date2013-06-05
Business Address
-- PETER JOSEPH MARINICH CRNA
CORNER OF N7 AND N12
FORT DEFIANCE, AZ 86504
Phone number: 928-729-8749
Mailing Address
-- PETER JOSEPH MARINICH CRNA
PO BOX 649
FORT DEFIANCE, AZ 86504-0649
Phone number: 928-729-8749