| Vivien Tucker, Md, Llc | |
|
13330 Darmstadt Rd Evansville IN 47725-9593 | |
| (812) 867-8991 | |
| Not Available |
| Full Name | Vivien Tucker, Md, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 13330 Darmstadt Rd, Evansville, Indiana |
| Authorized Official Name and Position | Vivien O Tucker (OWNER) |
| Authorized Official Contact | 8128678991 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivien Tucker, Md, Llc 13330 Darmstadt Rd Evansville IN 47725-9593 Ph: (812) 867-8991 | Vivien Tucker, Md, Llc 13330 Darmstadt Rd Evansville IN 47725-9593 Ph: (812) 867-8991 |
| NPI Number | 1134499320 |
|---|---|
| Provider Enumeration Date | 01/05/2012 |
| Last Update Date | 01/05/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134499320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01039200 (Indiana) | Primary |
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