Individual
PHEBE M TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
920 STANTON L YOUNG BLVD, WP3240, OKLAHOMA CITY, OK 73104-5020
(405) 271-4488
Mailing address
1122 NE 13TH ST, ORI236, OKLAHOMA CITY, OK 73117-1039
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
15723
OK
Other
Enumeration date
03/14/2006
Last updated
01/14/2011
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