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Contact Information

MARK A TUCKER, DO
401 E HWY 19
CENTER, MO63436
 Phone: 573-267-3318
 Fax: 573-267-3933
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for MARK A TUCKER · (Male)

NPI # 1285643346
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 08/07/2006
Last updated 03/04/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • MO License # R4C62
  • MO Medicaid 241722206
Hospital affiliation(s)
  • HANNIBAL REGIONAL HOSPITAL - (Acute Care)
    6000 HOSPITAL DR
    HANNIBAL, MO 63401
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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