Mark W Tuccillo, DO
NPI #1942237441 in Petersburg, Alaska
Provider Information
- NPI Number
- 1942237441
- Entity Type
- Individual
- Name
- Mark W Tuccillo, DO
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Family Medicine - Sports Medicine
- Credential
- DO
- Enumeration Date
- Jun 28, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 103 FRAM STREET
- City
- Petersburg
- State
- Alaska
- ZIP Code
- 99833-0589
- Phone
- (907) 772-4299
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Sports Medicine — Sports Medicine |
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