DR. Michael A Tucker, O.D.

NPI #1902210107 in Pocatello, Idaho

Provider Information

NPI Number: 1902210107
Entity Type: Individual
Name: DR. Michael A Tucker, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jun 16, 2014
Last Updated: Jun 16, 2014

Practice Location

Address: 1155 POCATELLO CREEK RD
City: Pocatello
State: Idaho
ZIP Code: 83201-2949
Phone: (208) 233-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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