Individual
DR. ALTON GLENN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
8991 COTSWOLD DRIVE, BURKE, VA 22015
(703) 440-4050
(703) 440-8246
Mailing address
8991 COTSWOLD DRIVE, BURKE, VA 22015
(703) 440-4050
(703) 440-8246
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
101029876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005620643
—
VA
Enumeration date
07/11/2006
Last updated
06/13/2012
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