Mark W Tuccillo in Petersburg - Sports Medicine
Mark W Tuccillo - NPI 1942237441
Mark W Tuccillo is a Sports Medicine in Petersburg, Alaska. Mark W Tuccillo practices all healthcare services and medical treatments related to Sports Medicine. The NPI Number for Mark W Tuccillo is 1942237441. The last update date is 2007-07-08.
Mark W Tuccillo's current location address is 103 Fram Street, Petersburg, Alaska. You can contact this provider via phone number 9077724299. The mailing address for Mark W Tuccillo is 103 Fram Street, Petersburg, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark W Tuccillo |
|---|---|
| Address | 103 Fram Street, Petersburg, Alaska |
| Phone Number | 9077724299 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DO |
NPI Number Detail
| NPI Number | 1942237441 |
|---|---|
| Provider Enumeration Date | 2006-06-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 103 Fram Street |
|---|---|
| City | Petersburg |
| State | Alaska (AK) |
| Post Code | 9983305890 |
| Phone Number | 9077724299 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Sports Medicine |
|---|---|
| Taxonomy | 207Qs0010X |
| Licence No | AA2935 |
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Definition: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must |
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What is the unique 10-digit identification code assigned to Mark W Tuccillo by the Centers for Medicare & Medicaid Services?
The Mark W Tuccillo has been issued the NPI (National Provider Identifier) 1942237441, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Mark W Tuccillo?
The Mark W Tuccillo is physically situated at 103 Fram Street, in the city of Petersburg, state of AK, with the postal code 9983305890.
What is the Mark W Tuccillo's specialty and taxonomy code?
The Mark W Tuccillo's specialty is Sports Medicine, and the corresponding taxonomy code is 207Qs0010X.
On what date did the Mark W Tuccillo receive its 1942237441 assignment from the Centers for Medicare & Medicaid Services?
The Mark W Tuccillo was assigned its 1942237441 by the Centers for Medicare & Medicaid Services on 2006-06-28.
As of what date were the details pertaining to Mark W Tuccillo last refreshed?
The information related to the Mark W Tuccillo, including its address, specialty, and other relevant details, was last updated on 2007-07-08.