Individual
DR. SHERRI A TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1208 W 15TH ST, EDMOND, OK 73013-3001
(405) 340-2100
(405) 340-1184
Mailing address
4401 W MEMORIAL RD, #141, OKLAHOMA CITY, OK 73134-1785
(405) 936-5800
(405) 936-5810
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16293
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080161475
RAILROAD MEDICARE
OK
05
—
100136700A
—
OK
Enumeration date
02/02/2006
Last updated
09/09/2008
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