SearchOklahoma101YA0400X

Charles Tucker, LADC

NPI 1497039135 · on the registry since 2011 · sole proprietor

Practice

Address
12925 Ne 59th St
Spencer, OK 73084
Phone
(405) 464-2922

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
OK
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2011-09-29

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oklahoma