Individual
MARC S TUCKER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
841 HOSPITAL ROAD, SUITE 2300 MARC S TUCKER DO FACOS, INDIANA, PA 15701
(724) 463-1512
(724) 463-1541
Mailing address
841 HOSPITAL ROAD, SUITE 2300 MARC S TUCKER DO FACOS, INDIANA, PA 15701
(724) 463-1512
(724) 463-1541
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
OS005464L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011452480001
—
PA
01
—
TU1655957
HIGHMARK
PA
Enumeration date
02/08/2006
Last updated
07/08/2007
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