Tucker Medical Group, P.c.

NPI 1235439811 - Family Medicine - 207Q00000X

NPI Details
NPI 1235439811
Enumeration Date 10/28/2010
Last Updated 03/21/2014
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name STEPHEN RICHARD STEPHEN
Position OWNER/PRESIDENT
Phone (801) 660-8687
Fax (866) 332-8067
Practice Location
460 W 2600 S
BOUNTIFUL UT, 84010-7716, US
Phone (801) 660-8687
Fax (866) 332-8067
Business Location
PO BOX 14
BOUNTIFUL UT, 84011-0014, US
Phone (801) 660-8687
Fax (866) 332-8067
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
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According to our database, Tucker Medical Group, P.c. NPI is 1235439811, taxonomy code is 207Q00000X Tucker Medical Group, P.c. physically located at 460 W 2600 S, Bountiful UT, 84010-7716. NPI Number 1033115704 has the healthcare provider type.

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1235439811 NPI number is provided on an as is basis without warranty of any kind. 1235439811 is maintained by the National Plan & Provider Enumeration System. The contents of Tucker Medical Group, P.c. are for informational purposes only.