Individual
AMBER JANAE TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D,
Contact information
Practice address
1919 E THOMAS RD, PHOENIX, AZ 85016-7710
(602) 933-4660
(602) 933-8945
Mailing address
2108 E THOMAS RD STE 130, PHOENIX, AZ 85016-0008
(602) 933-3124
Taxonomy
Speciality
Code
Description
License number
State
207LP3000X
Pediatric Anesthesiology Physician
Primary
58672
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
553848
—
AZ
Enumeration date
03/31/2014
Last updated
01/26/2023
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