Dr. Mark Alan Tucker, D.O.
Family Medicine in Center, MO. Individual provider (NPI-1).
NPI number1285643346
StatusActive
Last updated in NPPESMar 4, 2021
Details
- NPI
- 1285643346
- Entity type
- Individual (NPI-1)
- Name
- Dr. Mark Alan Tucker
- Credential
- D.O.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 7, 2006
- Certification date
- Mar 4, 2021
- Last updated
- Mar 4, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | R4C62 | MO | Yes |
Practice location
401 E Hwy 19Center, MO 63436
Phone 573-267-3318 · Fax 573-267-3933
Mailing address
401 E. Hwy 19Center, MO 63436-0311
Phone 573-267-3318 · Fax 573-267-3933
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