Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tucker Bag LLC

Organization Obstetrics & Gynecology Physician · NPI 1336596345

Tucker Bag LLC is an Obstetrics & Gynecology Physician in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

6370 W Union Hills Dr
Glendale, AZ 85308
Phone: (623) 414-3500
Fax: (623) 374-2549
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence 51043 (AZ)

Record details

NPI number1336596345
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathan Petersen — Member · (623) 414-3500
Other names Nathan Petersen, M.D.
NPI enumeratedMay 19, 2016
Last updated in NPPESMay 19, 2016
Mailing address6370 W. Union Hills Dr., Glendale, AZ 85308

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