Provider Demographics
NPI:1629235049
Name:TUCKER, SCOTT ANDREW (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:ANDREW
Last Name:TUCKER
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3434 PRYTANIA ST
Mailing Address - Street 2:SUITE 310
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70115-3532
Mailing Address - Country:US
Mailing Address - Phone:504-897-7877
Mailing Address - Fax:504-897-7814
Practice Address - Street 1:3434 PRYTANIA ST
Practice Address - Street 2:SUITE 310
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70115-3532
Practice Address - Country:US
Practice Address - Phone:504-897-7877
Practice Address - Fax:504-897-7814
Is Sole Proprietor?:No
Enumeration Date:2008-05-22
Last Update Date:2014-08-26
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Provider Licenses
StateLicense IDTaxonomies
LAMD.203208207XX0005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XX0005XAllopathic & Osteopathic PhysiciansOrthopaedic SurgerySports Medicine