Individual
DR. SPENCER PAUL TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
12163 E ADAMS RD, HAMMOND, LA 70403-2103
(225) 294-0532
(225) 294-0532
Mailing address
12163 E ADAMS RD, HAMMOND, LA 70403-2103
(225) 294-0532
(225) 294-0532
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD.202239
LA
208600000X
Surgery Physician
202239
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1309834
—
LA
Enumeration date
04/24/2007
Last updated
12/06/2019
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