Individual
DR. ALLEN GORDON TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2010 BROOKWOOD MEDICAL CTR DR, BIRMINGHAM, AL 35209-6804
(205) 989-1080
(205) 989-1087
Mailing address
2151 OLD ROCKY RIDGE RD, SUITE 106, BIRMINGHAM, AL 35216-7235
(205) 989-1080
(205) 989-1087
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD.11638
AL
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD.11638
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1609864149
—
AL
01
—
51594636
BCBSAL
AL
Enumeration date
10/10/2005
Last updated
09/07/2011
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