Gregory Gerritt Marino
Hematology & Oncology
1401 W 5th St
Sheridan
, Wyoming 82801-2705
Gregory Gerritt Marino
Hematology & Oncology
1401 W 5th St
Sheridan
, Wyoming 82801-2705
(307) 674-5405
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About
Features
Specialties
- Hematology & Oncology
Languages spoken
- English
Location
First Address
- Gregory Gerritt Marino
- 1401 W 5th St
- Sheridan, WY
- Zip : 82801-2705
- Fax : (307) 674-5405
- Phone : (307) 674-6022
Second Address
- Gregory Gerritt Marino
- 1401 W 5th St
- Sheridan, WY
- Zip : 82801-2705
- Fax : (307) 674-5405
- Phone : (307) 674-6022
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207RH0003X | Hematology & Oncology | 4548 | AK |
| Y | 207RH0003X | Hematology & Oncology | 9050A | WY |
National Provider Identifier
| NPI | 1023054285 |
|---|---|
| Provider Name | Gregory Gerritt Marino |
| First Address | Sheridan, WY 82801-2705 |
| Second Address | Sheridan, WY 82801-2705 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 22/06/2006 |
| Last Update Date | 17/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 134828100 | (05) | WY |
| F03239 | (02) | AK |
| MD4548 | (05) | AK |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.