Individual
JOHN D TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9985 SIERRA AVE, BLDG. #3, DEPT. OF RADIOLOGY, FONTANA, CA 92335-6720
(909) 427-7649
Mailing address
9985 SIERRA AVE, BLDG. #3, DEPT. OF RADIOLOGY, FONTANA, CA 92335-6720
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
6251
AK
2085R0202X
Diagnostic Radiology Physician
Primary
A85484
CA
2085R0202X
Diagnostic Radiology Physician
MD28077
OR
2085R0204X
Vascular & Interventional Radiology Physician
MT190680
PA
Other
Enumeration date
07/25/2007
Last updated
12/01/2021
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