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Individual
DR. WARREN GLYNN TUCKER
Active
Individual
DR. WARREN GLYNN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207ZH0000X
Hematology (Pathology) Physician
11226
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
11226
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
112267
—
SC
Enumeration date
03/01/2006
Last updated
02/21/2008
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