NPI 1538903059

Collin Micheal Tucker

Practitioner Driver Sidney, IA

Practice location

Address: PO Box 344, Sidney, IA 51652-0344
Phone: (785) 416-0763

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 755AX9406 (IA)

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Registry record

NPI: 1538903059
Entity type: Individual
Sex (as registered): Male
NPI issued: 20 Jun 2024
Record last updated: 20 Jun 2024

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.