Individual
MR. JEFFREY A TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
750 W HIGH ST, SUITE 390, LIMA, OH 45801-2969
(419) 222-8432
(419) 222-9057
Mailing address
750 W HIGH ST, SUITE 390, LIMA, OH 45801-2969
(419) 222-8432
(419) 222-9057
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
668
OH
Other
Enumeration date
07/24/2006
Last updated
07/09/2007
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