Provider Demographics
NPI:1780107425
Name:TUCKER, ALLISON KIMBERLEY (MD, MSC, FRCSC)
Entity type:Individual
Prefix:DR
First Name:ALLISON
Middle Name:KIMBERLEY
Last Name:TUCKER
Suffix:
Gender:F
Credentials:MD, MSC, FRCSC
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Mailing Address - Street 1:360 S MARKET ST UNIT 1211
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95113-2866
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2550 23RD ST., BLDG. 9, 2ND FLOOR
Practice Address - Street 2:ORTHOPEDIC TRAUMA INSTITUTE
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-206-3887
Practice Address - Fax:415-647-3733
Is Sole Proprietor?:No
Enumeration Date:2017-07-25
Last Update Date:2017-07-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA100056098207X00000X
CAA150012207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery