Individual
DR. THOMAS J NUCKTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3325 CHANATE RD, SANTA ROSA, CA 95404-1707
(415) 596-1685
(415) 600-1753
Mailing address
6 LOCKSLEY AVE APT 8J, SAN FRANCISCO, CA 94122-3822
(415) 596-1685
(415) 600-1753
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
CC6838711
CA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
G83871
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G838711
—
CA
Enumeration date
10/05/2006
Last updated
01/15/2025
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