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Individual
DR. DAVID JOHN TUCKER
Active
Individual
DR. DAVID JOHN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2013042315
MO
207Q00000X
Family Medicine Physician
Primary
R3698
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100061170A
—
OK
01
—
100726240D
OK MEDICAID GROUP NUMBER
OK
05
—
112423001
—
AR
05
—
202310207
—
MO
01
—
50654
AR BCBS
AR
01
—
P00144854
RAILROAD MEDICARE NUMBER
AR
01
—
P00894372
OCH RR MEDICARE
AR
Enumeration date
05/03/2006
Last updated
10/16/2023
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