Individual
JAMES EDWIN TUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
6500 HOSPITAL DR, HANNIBAL, MO 63401
(573) 629-3440
(573) 629-3423
Mailing address
PO BOX 1239, HANNIBAL, MO 63401-1239
(573) 629-3440
(573) 629-3423
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2015017297
MO
207Q00000X
Family Medicine Physician
Primary
2016033286
MO
Other
Enumeration date
06/11/2015
Last updated
07/03/2018
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