Individual
THOMAS MAYNARD TUCKER TURK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
01094846A
IN
208800000X
Urology Physician
Primary
36098025
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201031720
—
IN
05
—
36098025
—
IL
01
—
L80642
MEDICARE
IL
Enumeration date
02/15/2006
Last updated
11/12/2024
Update your record
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