Individual
JOHN J TUCKER II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
299 MONTANA AVE, LAS CRUCES, NM 88005-3223
(575) 525-5703
(575) 525-5774
Mailing address
299 MONTANA AVE, LAS CRUCES, NM 88005-3223
(575) 523-4700
(575) 525-5774
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
A-1633-11
NM
390200000X
Student in an Organized Health Care Education/Training Program
SL0564
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
22909311
—
NM
Enumeration date
06/25/2008
Last updated
09/29/2025
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