Individual
DR. AMANDA DAWN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5053 RANGEVIEW AVE, LONGMONT, CO 80504-3536
(970) 456-5245
Mailing address
5053 RANGEVIEW AVE, LONGMONT, CO 80504-3536
(970) 456-5245
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
5911
HI
Other
Enumeration date
03/25/2015
Last updated
03/25/2015
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