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Contact Information

CONSTANCE TUCKER, DO
6601 WEST THOMAS ROAD
PHOENIX, AZ85033
 Phone: 602-243-7277
 Fax: 623-247-9742
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for CONSTANCE TUCKER · (Female)

NPI Number 1255391645
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/28/2006
Last updated 12/21/2011 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3713
  • AZ Medicaid 809428
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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