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Individual

DR. TRACY L TUCKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
(620) 341-7821
Mailing address
1201 W 12TH AVE, EMPORIA, KS 66801-2504
(620) 343-6800
(620) 341-7821

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
31248
KS
207P00000X
Emergency Medicine Physician
37949
OK

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200335650L
KS
05
200335650M
KS
05
200335650O
KS
Enumeration date
07/02/2006
Last updated
09/29/2025
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