Individual
RON L TUCKMAN
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
77 W FOREST AVE, SUITE 304, FLAGSTAFF, AZ 86001-1479
(928) 214-3600
(928) 214-3601
Mailing address
77 W FOREST AVE, SUITE 304, FLAGSTAFF, AZ 86001-1479
(928) 214-3600
(928) 214-3601
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27245
AZ
Other
Enumeration date
08/17/2005
Last updated
07/08/2007
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