Individual
MARY E. TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1101 N 27TH ST, SUITE F, BILLINGS, MT 59101-0101
(406) 325-5555
(406) 325-5556
Mailing address
1101 N 27TH ST, SUITE F, BILLINGS, MT 59101-0101
(406) 325-5555
(406) 325-5555
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
461
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000901703
BLUE CROSS BLUE SHIELD
MT
Enumeration date
08/31/2006
Last updated
03/17/2009
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