Individual provider · Type 1 NPI

Michael Ned Tucker, PA-C

Medical Physician Assistant · Glendale, AZ

NPI number 1508818931 Active

Practice location

6040 N 43rd Ave Ste 1
Glendale, AZ 85301-5481

Call (623) 931-2221 Map

Fax (623) 934-2849

Mailing address

3815 E Bell Rd Ste 4500
Phoenix, AZ 85032-2171

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X2290 (AZ)

Medical Physician Assistant: Definition to come...

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About NPI 1508818931

Michael Ned Tucker, PA-C's National Provider Identifier is 1508818931, issued on May 16, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Glendale, AZ. The record was last updated on Aug 1, 2024.