Organization
TUCKIER SURGICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REX TUCKIER D.O (PHYSICIAN/OWNER)
(256) 974-2121
Entity
Organization
Contact information
Practice address
202 HOSPITAL ST, MOULTON, AL 35650-1218
(256) 974-2121
(256) 974-2120
Mailing address
PO BOX 815, MOULTON, AL 35650-0815
(256) 974-2121
(256) 974-2120
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
DO539
AL
Other
Enumeration date
09/24/2007
Last updated
09/24/2007
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