Individual
TUCKER JEPPSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
220 W 3RD ST, MOSCOW, ID 83843-2203
(208) 882-8369
Mailing address
PO BOX 9583, MOSCOW, ID 83843-0177
(208) 882-8369
(208) 882-1887
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
9861270
ID
Other
Enumeration date
04/03/2020
Last updated
08/18/2025
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