Individual
MR. SEAN J STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2825 E MALL DR, ST GEORGE, UT 84790-1954
(435) 656-8800
(435) 627-1809
Mailing address
1055 N 500 W, ATTN: CREDENTIALING, PROVO, UT 84604-3305
(801) 354-8225
(801) 418-0941
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5178738-1206
UT
Other
Enumeration date
04/26/2006
Last updated
03/27/2025
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