Individual
DOLORES R TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
224 S WOODS MILL RD, CHESTERFIELD, MO 63017-3614
(314) 878-2556
(314) 275-7442
Mailing address
7724 W BILTMORE DR, CLAYTON, MO 63105-2608
(314) 878-2556
(314) 275-7442
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35270
MO
Other
Enumeration date
06/08/2006
Last updated
07/08/2007
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