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Individual

DR. GREG TUCKMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
9001 N 29TH AVE # E1/2, PHOENIX, AZ 85051-3464
(602) 944-2444
Mailing address
12 E CONCORDA DR, TEMPE, AZ 85282-3517
(480) 968-2768

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
501
AZ

Other

Enumeration date
09/30/2006
Last updated
07/08/2007
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