Individual
MARK DECOTIIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7500 BROOKTREE RD, WEXFORD, PA 15090-9254
(412) 367-0600
Mailing address
7500 BROOKTREE RD STE 302, WEXFORD, PA 15090-9285
(412) 367-0600
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD477420
PA
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD477420
PA
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
MD477420
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/04/2018
Last updated
07/05/2023
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