Organization
ALLEN TUCKER, M.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLEN TUCKER M.D. (DOCTOR)
(614) 252-2211
Entity
Organization
Contact information
Practice address
1830 EAST BROAD STREET, COLUMBUS, OH 43203
(614) 252-2211
(614) 252-4011
Mailing address
1830 EAST BROAD STREET, COLUMBUS, OH 43203
(614) 252-2211
(614) 252-4011
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
35044012T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0427872
—
OH
01
—
0473075
MEDICARE
OH
01
—
C01779
UPIN
OH
Enumeration date
04/28/2008
Last updated
04/28/2008
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