IndividualActive
Mark Tuccillo, DO
NPI 1942237441 · Sports Medicine (Family Medicine) Physician · Petersburg, AK
Provider details
- NPI number
- 1942237441
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- DO
- Sex
- Male
- Sole proprietor
- No
- License
- AA2935 (AK)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
103 Fram Street
Petersburg, AK 99833-0589
Phone: (907) 772-4299
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 2120
Petersburg, AK 99833-2120
Registry dates
- Enumerated
- 2006-06-28
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.