Individual
JAMES PATRICK TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3118 E 10TH ST, STE B, JEFFERSONVILLE, IN 47130-5904
(812) 285-4585
(812) 284-2798
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
01054575A
IN
208000000X
Pediatrics Physician
36708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64062953
—
KY
Enumeration date
07/13/2005
Last updated
10/07/2016
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