Individual
DANIEL BRYAN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(256) 801-3108
Mailing address
701 PRINCETON AVE SW, BIRMINGHAM, AL 35211-1303
(256) 801-3108
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA.1335
AL
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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