TUCKER JEPPSON, DO
Radiology - Diagnostic Radiology
Active
Individual
NPI: 1104455922
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Radiology - Diagnostic Radiology | 2085R0202X | Yes | 9861270 (ID) |
Frequently Asked Questions
NPI 1104455922 is the National Provider Identifier for TUCKER JEPPSON, DO, a Radiology - Diagnostic Radiology provider located in Moscow, ID. This NPI was enumerated on April 3, 2020.
TUCKER JEPPSON, DO practices at 220 W 3RD ST, Moscow, ID 83843.
Quick Facts
- NPI
- 1104455922
- Type
- Individual
- Enumerated
- Apr 3, 2020
- Last Updated
- Aug 18, 2025
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