MICHAEL A TUCKER

POCATELLO, ID
NPI1902210107
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: ID  OPD - 100304)
Enumeration Date2014-06-16
Last Update Date2014-06-16
Business Address
Dr. MICHAEL A TUCKER O.D.
1155 POCATELLO CREEK RD
POCATELLO, ID 83201-2949
Phone number: 208-233-2020
Mailing Address
Dr. MICHAEL A TUCKER O.D.
1155 POCATELLO CREEK RD
POCATELLO, ID 83201-2949
Phone number: 208-233-2020
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