Individual
ELLIOT MOORE TUCKER
Active
Individual
ELLIOT MOORE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
0101234827
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02032548
—
MS
05
—
1193186
—
LA
05
—
1265639306
—
VA
05
—
89066JW
—
NC
Enumeration date
07/02/2007
Last updated
12/19/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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