Individual
DR. MELISSA S TUCK-WHITE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
410 S RAMPART BLVD STE 420, LAS VEGAS, NV 89145-5749
(702) 240-4200
(702) 548-4253
Mailing address
5050 POWDERHOUSE RD, CHEYENNE, WY 82009-4800
(307) 634-1311
(307) 634-1271
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
10309A
WY
207Q00000X
Family Medicine Physician
Primary
23624
NV
207Q00000X
Family Medicine Physician
DR.0057992
CO
207Q00000X
Family Medicine Physician
M9065
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
192649501
—
TX
Enumeration date
02/28/2007
Last updated
07/03/2023
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