Individual
DR. VICTOR E TUCKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
639 GELPI AVE, JEFFERSON, LA 70121-1527
(504) 832-8053
Mailing address
639 GELPI AVE, JEFFERSON, LA 70121-1527
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
9945R
LA
Other
Enumeration date
08/22/2006
Last updated
07/08/2007
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