Individual
DR. RICHARD TUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 961-6111
(740) 962-2182
Mailing address
859 N MAIN ST, MALTA, OH 43758-9007
(740) 961-6111
(740) 962-2182
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35041985T
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000018866
ANTHEM PIN
OH
01
—
000000177522
UNISON PIN
OH
05
—
0379906
—
OH
01
—
1293242
UHC PIN
OH
01
—
311413469035
CARESOURCE PIN
OH
01
—
CA0426
GROUP MEDICARE
OH
Enumeration date
12/16/2005
Last updated
01/10/2012
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