Individual
MR. CHAD ALLEN STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
2222 PHILADELPHIA DRIVE, DAYTON, OH 45264-0446
(937) 278-2612
(937) 567-4163
Mailing address
PO BOX 64066, CINCINNATI, OH 45264-0446
(937) 293-0247
(937) 293-0960
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN272474
OH
Other
Enumeration date
12/19/2006
Last updated
07/08/2007
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