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Individual

DR. STEPHANIE TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
4601 CORBETT DR, FORT COLLINS, CO 80528-9579
(970) 207-4857
(970) 207-4885
Mailing address
2695 ROCKY MOUNTAIN AVE STE 150, LOVELAND, CO 80538-9071
(706) 242-4219
(704) 904-1569

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
13209A
WY
2084P0800X
Psychiatry Physician
D0064887
MD
2084P0800X
Psychiatry Physician
Primary
DR.0072096
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
18528830
NM
05
81780052
CO
Enumeration date
11/13/2007
Last updated
01/19/2024
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