Healthcare Provider Details

I. General information

NPI: 1861216798
Provider Name (Legal Business Name): MARTIN ALAN UKOCKIS RPSGT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/07/2024
Last Update Date: 11/07/2024
Certification Date: 11/07/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8505 E OCOTILLO DR
TUCSON AZ
85750-9670
US

IV. Provider business mailing address

601 ANIMAS VIEW DR APT 302C
DURANGO CO
81301-8974
US

V. Phone/Fax

Practice location:
  • Phone: 844-809-1067
  • Fax:
Mailing address:
  • Phone: 520-405-6409
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code227900000X
TaxonomyRegistered Respiratory Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: