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Individual
DR. ROBERT STEPHEN TUCKER
Active
Individual
DR. ROBERT STEPHEN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
C-5951
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01-20335
UNITED HEALTHCARE
AR
01
—
08011667
RAILROAD MEDICARE
—
01
—
12080000000
QUALCHOICE
AR
Enumeration date
08/30/2005
Last updated
04/18/2008
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