Individual
DOUGLASS WARREN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3471 5TH AVE STE 1010, PITTSBURGH, PA 15213-3221
(412) 605-3203
Mailing address
3600 FORBES AVE STE 140, PITTSBURGH, PA 15213-3410
(412) 605-3203
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
02/10/2020
Last updated
06/04/2021
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