Individual
STONE PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
(435) 921-5938
Mailing address
60 S MAIN ST STE B0001, BRIGHAM CITY, UT 84302-6795
(435) 239-8768
(435) 921-5938
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
F26-139474
UT
Other
Enumeration date
02/03/2026
Last updated
02/03/2026
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