DR. Amanda Dawn Tucker, MD

NPI #1568856789 in Longmont, Colorado

Provider Information

NPI Number: 1568856789
Entity Type: Individual
Name: DR. Amanda Dawn Tucker, MD
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: MD
Enumeration Date: Mar 25, 2015
Last Updated: Mar 25, 2015

Practice Location

Address: 5053 RANGEVIEW AVE
City: Longmont
State: Colorado
ZIP Code: 80504-3536
Phone: (970) 456-5245

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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