# TUCKER MEDICAL GROUP, P.C.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235439811
- **Authorized official:** DR. STEPHEN RICHARD TUCKER M.D. (OWNER/PRESIDENT)
- **Authorized official phone:** (801) 660-8687

## Contact information

- **Practice address:** 460 W 2600 S, BOUNTIFUL, UT 84010-7716
- **Practice address phone:** (801) 660-8687
- **Practice address fax:** (866) 332-8067
- **Mailing address:** PO BOX 14, BOUNTIFUL, UT 84011-0014
- **Mailing address phone:** (801) 660-8687
- **Mailing address fax:** (866) 332-8067

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/28/2010
- **Last updated:** 03/21/2014