Geriatric and Primary Care Services S C
NPI #1174535900 in Marion, Illinois
Provider Information
- NPI Number
- 1174535900
- Entity Type
- Organization
- Organization Name
- Geriatric and Primary Care Services S C
- Primary Specialty
- Internal Medicine - Geriatric Medicine
- Enumeration Date
- Aug 12, 2006
- Last Updated
- Jul 25, 2012
Practice Location
Authorized Official
- Name
- DR. GLADSTONE A TUCKER, MD
- Title
- OWNER
- Phone
- (618) 542-6152
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Geriatric Medicine — Geriatric Medicine |
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