Dr MARTY P. WITUCKI is a male medical professional, specializing in Psychologist, Clinical. He graduated in 1993.
SGOH ACQUISITION INC
1101 JACKSON ST SW
GRAVETTE
AR
727369121
Tel: 4797875291
Npi | 1477587772 |
Pac Id | 5799718243 |
Professional Enrollment Id | I20180109003432 |
Last Name | WITUCKI |
First Name | MARTY |
Middle Name | P. |
Suffix | |
Gender | M |
Credential | |
Medical School Name | OTHER |
Graduation Year | 1993 |
Primary Specialty | PSYCHOLOGIST, CLINICAL |
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Organization Legal Name | SGOH ACQUISITION INC |
Group Practice Pac Id | 5092616276 |
Number Of Group Practice Members | 49 |
Line 1 Street Address | 1101 JACKSON ST SW |
Line 2 Street Address | |
Marker Of Address Line 2 Suppression | |
City | GRAVETTE |
State | AR |
Zip Code | 727369121 |
Phone Number | 4797875291 |
Hospital Affiliation Ccn 1 | 041331 |
Hospital Affiliation Lbn 1 | OZARKS COMMUNITY HOSPITAL OF GRAVETTE |
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Professional Accepts Medicare Assignment | Y |
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