Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TUCKER JEPPSON, DO
ActiveTUCKER JEPPSON, DO is a Diagnostic Radiology healthcare provider located in MOSCOW, Idaho. NPI 1104455922 is currently active in the NPPES registry. Verify at CMS.
Diagnostic Radiology · MOSCOW, ID
Registration Details
- NPI Number
- 1104455922
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 3, 2020 (6.3484738997104 yrs)
- Last Updated
- Aug 18, 2025
- License
-
9861270 (ID)
Practice Information
- Address
-
220 W 3RD STMOSCOW, ID, 838432203Browse ID providers · Browse ZIP 83843
- Phone
- 2088828369
- Primary Specialty
-
Diagnostic Radiology
2085R0202X
Other Diagnostic Radiology Providers in MOSCOW, ID
| Name | Credential | NPI |
|---|---|---|
| ROBERT M FARNER | MD | 1154313088 |
| CHRISTIN S REISENAUER | MD | 1205802998 |
| DEAN EASTON | M.D. | 1407807266 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.