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Individual

DR. JEFFREY DEE STUCKI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
444 HOSPITAL WAY STE 710, POCATELLO, ID 83201-2745
(208) 234-4263
(208) 233-4268
Mailing address
444 HOSPITAL WAY STE 710, POCATELLO, ID 83201-2745
(208) 235-4263
(208) 233-4268

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
58.001617
OH
207XS0106X
Orthopaedic Hand Surgery Physician
Primary
O-0574
ID

Other

Enumeration date
04/14/2009
Last updated
03/29/2018
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