# STEVEN R. TUCKER, MD, PC

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

## Provider details

- **NPI number:** 1811173479
- **Authorized official:** DR. STEVEN R TUCKER MD (OWNER)
- **Authorized official phone:** (703) 330-6440

## Contact information

- **Practice address:** 9001 DIGGES RD, SUITE 206, MANASSAS, VA 20110-4421
- **Practice address phone:** (703) 330-6440
- **Practice address fax:** (703) 369-5819
- **Mailing address:** 9001 DIGGES RD, SUITE 206, MANASSAS, VA 20110-4421
- **Mailing address phone:** (703) 330-6440
- **Mailing address fax:** (703) 369-5819

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 0101043908 | VA | Yes |

## Other

- **Enumeration date:** 01/14/2008
- **Last updated:** 01/15/2008