NPI 1043690860

Deron Tucker

Practitioner Driver Hobart, IN

Practice location

Address: 7243 Tanager St, Hobart, IN 46342-6948
Phone: (219) 256-2030

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 5360094917 (IN)

Other Driver providers in Indiana →

Registry record

NPI: 1043690860
Entity type: Individual
Sex (as registered): Male
NPI issued: 6 Jun 2015
Record last updated: 6 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.