Individual
ELIZABETH M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1212 9TH ST, SUITE A, ALAMOGORDO, NM 88310-5842
(575) 439-9997
(575) 439-8080
Mailing address
205 W BOUTZ RD, BLDG 1, LAS CRUCES, NM 88005-3259
(575) 532-7000
(575) 532-7006
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A-1455-08
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02323742
—
NY
05
—
46579028
—
NM
Enumeration date
10/18/2006
Last updated
02/14/2011
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