Provider Demographics
NPI:1205914744
Name:MARCUCCI, JOHN F (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:F
Last Name:MARCUCCI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:4700 ALLIANCE BLVD
Mailing Address - Street 2:BAYLOR PLANO EMERGENCY DEPARTMENT
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75093-5323
Mailing Address - Country:US
Mailing Address - Phone:469-814-2525
Mailing Address - Fax:469-814-2515
Practice Address - Street 1:4700 ALLIANCE BLVD
Practice Address - Street 2:BAYLOR PLANO EMERGENCY DEPARTMENT
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75093-5323
Practice Address - Country:US
Practice Address - Phone:469-814-2525
Practice Address - Fax:469-814-2515
Is Sole Proprietor?:No
Enumeration Date:2006-11-01
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
TXL3742207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine