Individual
THOMAS TUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1120 S UTICA AVE, TULSA, OK 74104-4012
(918) 579-1000
Mailing address
1900 68TH AVE, GREELEY, CO 80634-7967
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
206430
OK
Other
Enumeration date
03/08/2022
Last updated
03/08/2022
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