Individual
STEPHEN R TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1054 E MILLBROOK WAY, BOUNTIFUL, UT 84010-2024
(801) 660-8687
(866) 332-8067
Mailing address
307 W. 200 S., STE 3006, C/O ALTA MANAGEMENT SOLUTIONS, SALT LAKE CITY, UT 84101-1259
(801) 505-0821
(801) 505-0803
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
276502-1205
UT
207R00000X
Internal Medicine Physician
Primary
276502-1205
UT
Other
Enumeration date
08/08/2006
Last updated
08/15/2019
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