Individual
ROBERT E TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
505 COUCH AVE, SAINT LOUIS, MO 63122-5577
(314) 966-0111
Mailing address
505 COUCH AVE, SAINT LOUIS, MO 63122-5577
(314) 966-0111
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
R1A62
MO
Other
Enumeration date
09/30/2005
Last updated
08/22/2019
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