Individual
STEVEN B TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3300 PROVIDENCE DR, STE 304, ANCHORAGE, AK 99508-4671
(907) 212-4840
(907) 212-4820
Mailing address
PO BOX 241769, ANCHORAGE, AK 99524-1769
(907) 770-2380
(907) 770-2341
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
1601
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A2548
BLUE CROSS SUB
—
05
—
MD16012
—
AK
Enumeration date
03/24/2006
Last updated
08/20/2010
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