Individual
ANDREW JOHN TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2500 E PROSPECT RD, FORT COLLINS, CO 80525-9718
(970) 493-0112
Mailing address
802 ELLENBERGER PARKWAY WEST DR, INDIANAPOLIS, IN 46219-4403
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0009111
CO
Other
Enumeration date
03/24/2025
Last updated
03/24/2025
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