NPI 1861733891

Nicholas Tackett, DO

Practitioner Obstetrics & Gynecology Physician Apo, AE

Practice location

Address: Raf Lakenheath 48th Sgcs/Sgcg, Gyn Surgery and Obstetrics, Apo, AE 09464
Phone: (314) 226-8383

Registered specialties

Obstetrics & Gynecology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207V00000X Licence 0102205928 (VA)

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Registry record

NPI: 1861733891
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Mar 2013
Record last updated: 21 Aug 2023

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.