Individual
S. ANDREW TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2121 S ONEIDA ST, SUITE 200, DENVER, CO 80224-2549
(303) 757-6418
(303) 757-2209
Mailing address
8522 E PAWNEE RD, PARKER, CO 80134-5709
(303) 840-0976
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
29973
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01299734
—
CO
Enumeration date
04/10/2006
Last updated
07/08/2007
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