Individual
MR. BROCK TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1131 E INTERNATIONAL AIRPORT RD, ANCHORAGE, AK 99518-1408
(907) 276-2700
Mailing address
1234 LATOUCHE ST APT 3, ANCHORAGE, AK 99501-4786
(952) 388-9766
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2022
Last updated
06/22/2022
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