Bruce Nicholson Tucker in Santa Rosa - Internal Medicine
Bruce Nicholson Tucker - NPI 1780677054
Bruce Nicholson Tucker is a Internal Medicine in Santa Rosa, California. Bruce Nicholson Tucker practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Bruce Nicholson Tucker is 1780677054. The last update date is 2012-02-07.
Bruce Nicholson Tucker's current location address is 3536 Mendocino Ave, Santa Rosa, California. You can contact this provider via phone number 7075756049 and fax number 7075440834. The mailing address for Bruce Nicholson Tucker is 3536 Mendocino Ave, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Nicholson Tucker |
|---|---|
| Address | 3536 Mendocino Ave, Santa Rosa, California |
| Phone Number | 7075756049 |
| Fax Number | 7075440834 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1780677054 |
|---|---|
| Provider Enumeration Date | 2005-08-23 |
| Last Updated Date | 2012-02-07 |
Provider Mailing Address Detail
| Address | 3536 Mendocino Ave |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954033634 |
| Phone Number | 7075756049 |
| Fax Number | 7075440834 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | G44233 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 00G442330 | BLUE SHIELD OF CALIFORNIA | ||
| 00G442330 | CA | -- | |
| P00420858 | CA | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Bruce Nicholson Tucker by the Centers for Medicare & Medicaid Services (CMS)?
The Bruce Nicholson Tucker has been assigned the NPI (National Provider Identifier) 1780677054. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Bruce Nicholson Tucker is geographically located?
The Bruce Nicholson Tucker is physically situated at the following location: 3536 Mendocino Ave, Santa Rosa, CA, 954033634.
What is Bruce Nicholson Tucker's area of expertise and its corresponding taxonomy classification?
The Bruce Nicholson Tucker's field of specialization is Internal Medicine, and it falls under the taxonomy code 207R00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services issue the 1780677054 to Bruce Nicholson Tucker?
The Bruce Nicholson Tucker received its 1780677054 assignment from the Centers for Medicare & Medicaid Services on 2005-08-23.
When was the information related to Bruce Nicholson Tucker most recently updated or refreshed?
The details pertaining to the Bruce Nicholson Tucker, including its address, specialty, and other relevant information, were last updated or refreshed on 2012-02-07.
NPI Number: 1942206313
Address: 1250 N Wenatchee Ave Suite H Pmb 352, Wenatchee, WA