IndividualActive
Braden Tucker
NPI 1851853477 · Emergency Medicine Physician · Provo, UT
Provider details
- NPI number
- 1851853477
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Sex
- Male
- Sole proprietor
- No
- License
- 64749 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
1034 N 500 W
Provo, UT 84604-3380
Phone: (801) 357-7850
Approximate (ZIP-level) locationGet directions
Mailing address
551 Dutch Ridge Ct
Midway, UT 84049-6979
Registry dates
- Enumerated
- 2019-04-02
- Last updated
- 2023-06-01
- Certified
- 2023-06-01
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.