| Doctor Name: | DR. DAVID B TUCKER |
| NPI Number: | 1003818097 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPM |
| License Number: | 140 |
| Business Practice Address: | 519 S Van Buren Rd Suite D Eden, NC - 272885070 |
| Business Phone Number: | 3366274861 |
| Business Fax Number: | 3366234411 |
| Mailing Address: | 519 S Van Buren Rd, Suite D EDEN |
| State: | NC |
| Postal Code: | 272885070 |
| Phone Number: | 3366274861 |
| Fax Number: | 3366234411 |
| NPI Enumeration Date: | 08/10/2005 |
| NPI Last Update Date: | 10/26/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213ES0103X |
| License Number: | 140 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Foot & Ankle Surgery |
| Taxonomy Definition: | |