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Individual

DR. DANIEL JAY TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
28078 BAXTER RD STE 424, MURRIETA, CA 92563-1404
(951) 679-1020
Mailing address
PO BOX 34869, BELFAST, ME 04915-0626

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
00000833
TN
213ES0103X
Foot & Ankle Surgery Podiatrist
25MD00242700
NJ
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
E4705
CA
213ES0103X
Foot & Ankle Surgery Podiatrist
N005485
NY
213ES0103X
Foot & Ankle Surgery Podiatrist
POD001177
GA

Other

Enumeration date
07/18/2005
Last updated
07/02/2025
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