BRADLEY TUCKETT, PA-C
Physician Assistant
Active
Individual
NPI: 1790308260
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physician Assistant | 363A00000X | Yes | 8818148-1206 (UT) |
Frequently Asked Questions
NPI 1790308260 is the National Provider Identifier for BRADLEY TUCKETT, PA-C, a Physician Assistant provider located in Elk Ridge, UT. This NPI was enumerated on May 19, 2020.
BRADLEY TUCKETT, PA-C practices at 245 E HUDSON DR, Elk Ridge, UT 84651.
Quick Facts
- NPI
- 1790308260
- Type
- Individual
- Enumerated
- May 19, 2020
- Last Updated
- Dec 6, 2022
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