MEDICARE: DR. DUANE CARLTON TUCKER M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207N00000X	Dermatology Physician	ME133817	FL
2	207N00000X	Dermatology Physician	GFE42087	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1538154612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUANE CARLTON TUCKER M.D.

Provider Business Mailing Address
First Line	:	PSC 41
Second Line	:	BOX 1952
City	:	APO
State	:	AE
Zip	:	09464
Country	:	US
Telephone Number	:	011441473461138
Fax Number	:

Provider Business Practice Location Address
First Line	:	PSC 41
Second Line	:	BOX 1952
City	:	APO
State	:	AE
Zip	:	09464-0020
Country	:	US
Telephone Number	:	011441473461138
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2005
Last Update Date	:	03/17/2018

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Directions to “ DR. DUANE CARLTON TUCKER M.D.” Practice Location

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