| Allen Tucker, M.d. | |
|
1830 East Broad Street Columbus OH 43203 | |
| (614) 252-2211 | |
| (614) 252-4011 |
| Full Name | Allen Tucker, M.d. |
|---|---|
| Speciality | Family Medicine |
| Location | 1830 East Broad Street, Columbus, Ohio |
| Authorized Official Name and Position | Allen Tucker (DOCTOR) |
| Authorized Official Contact | 6142522211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Allen Tucker, M.d. 1830 East Broad Street Columbus OH 43203 Ph: (614) 252-2211 | Allen Tucker, M.d. 1830 East Broad Street Columbus OH 43203 Ph: (614) 252-2211 |
| NPI Number | 1770758054 |
|---|---|
| Provider Enumeration Date | 04/28/2008 |
| Last Update Date | 04/28/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770758054 | NPI | - | NPPES |
| 0427872 | Medicaid | OH | |
| 0473075 | Other | OH | MEDICARE |
| C01779 | Other | OH | UPIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 35044012T (Ohio) | Primary |
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