Individual
DR. JON BARRY TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1082 BOWER HILL RD, SUITE 100, PITTSBURGH, PA 15243-1324
(412) 276-0267
(412) 276-7215
Mailing address
1000 BOWER HILL RD, AFFILIATE BILLING, PITTSBURGH, PA 15243-1873
(412) 942-2533
(412) 942-2589
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD034772E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012291940005
—
PA
Enumeration date
08/02/2005
Last updated
12/03/2013
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