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DR. JANNA MARIE TUCK M. D.

Allergy and Immunology

Cape Girardeau, Missouri

Provider NPI: 1346230646

Provider Information:
DR. JANNA MARIE TUCK M. D.


Practice Location:
23 DOCTORS PARK  CAPE GIRARDEAU, MO 63703 US
Tel: 573-335-1218  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207K00000XPhysicians
Allergy & Immunology
MO108098

Other Provider Identifiers:

IssuerNumberStateType
MEDICARE PTAN003012390MO01
208710004MO05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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