Provider Demographics
NPI:1861216798
Name:UKOCKIS, MARTIN ALAN (RPSGT)
Entity type:Individual
Prefix:MR
First Name:MARTIN
Middle Name:ALAN
Last Name:UKOCKIS
Suffix:
Gender:M
Credentials:RPSGT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 ANIMAS VIEW DR APT 302C
Mailing Address - Street 2:
Mailing Address - City:DURANGO
Mailing Address - State:CO
Mailing Address - Zip Code:81301-8974
Mailing Address - Country:US
Mailing Address - Phone:520-405-6409
Mailing Address - Fax:
Practice Address - Street 1:8505 E OCOTILLO DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85750-9670
Practice Address - Country:US
Practice Address - Phone:844-809-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-11-07
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered