| David J. Tucker, Md, Llc | |
|
1034 S Brentwood Blvd Ste 716 Saint Louis MO 63117-1223 | |
| (314) 721-9999 | |
| (314) 721-2244 |
| Full Name | David J. Tucker, Md, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1034 S Brentwood Blvd, Saint Louis, Missouri |
| Authorized Official Name and Position | Rick Sonne (DIRECTOR) |
| Authorized Official Contact | 3145762490 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| David J. Tucker, Md, Llc 232 S Woods Mill Rd Chesterfield MO 63017-3417 Ph: (314) 576-2490 | David J. Tucker, Md, Llc 1034 S Brentwood Blvd Ste 716 Saint Louis MO 63117-1223 Ph: (314) 721-9999 |
| NPI Number | 1386724763 |
|---|---|
| Provider Enumeration Date | 10/17/2006 |
| Last Update Date | 12/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386724763 | NPI | - | NPPES |
| DN7747 | Other | MO | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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