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General NPI Number Information
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NPI Number | 1053408708
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Entity Type | Individual
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Provider Name | MARCELLA RAE WOICZIK M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/06/2006
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 5400 ALAMEDA AVE BLDG B
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City | EL PASO
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State | TX
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Zip | 79905-2914
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Country | US
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Telephone | 915-242-8402
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Fax | 915-242-8404
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Provider Business Mailing Address
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Address Line | 5201 CREEK STONE CT
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City | PARK CITY
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State | UT
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Zip | 84098-5969
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Country | US
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Telephone | 801-707-4071
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 6583678-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207XP3100X
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Taxonomy Name | Pediatric Orthopaedic Surgery Physician
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License Number | P1251
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License Number State | TX
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