# WILLIAM A. TUCKER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023403789
- **Gender:** Man
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | 04-43440 | KS | — |
| 207X00000X | Orthopaedic Surgery Physician | 12208319-1205 | UT | — |
| 207XS0117X | Orthopaedic Surgery of the Spine Physician | 12208319-1205 | UT | — |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 04-43440 | KS | Yes |
| 207XX0004X | Orthopaedic Foot and Ankle Surgery Physician | 12208319-1205 | UT | — |

## Other

- **Enumeration date:** 03/31/2015
- **Last updated:** 11/02/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 30004655600002 | — | KS |