Individual provider · Type 1 NPI
Tucker Jeppson, DO
Diagnostic Radiology Physician · Moscow, ID
NPI number
1104455922
Active
Practice location
220 W 3rd St
Moscow, ID 83843-2203
Mailing address
PO Box 9583
Moscow, ID 83843-0177
Other practice locations
- 1200 W Fairview St, Colfax, WA 99111-9552 · (208) 882-8369
- 701 Lewiston St, Cottonwood, ID 83522-9750 · (208) 962-3251
- 301 Cedar St, Orofino, ID 83544-9029 · (208) 882-8369
- 20201 Crawford Ave, Olympia Fields, IL 60461-1010 · (708) 747-4000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician Primary | 2085R0202X | 9861270 (ID) |
Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Another provider at this address
Other diagnostic radiology physician providers in Moscow
About NPI 1104455922
Tucker Jeppson, DO's National Provider Identifier is 1104455922, issued on Apr 3, 2020. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Moscow, ID. The record was last updated on Aug 18, 2025.