Individual
JOHN STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0023649
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0035
CAREFIRST BCBS
—
05
—
008203102
—
MD
01
—
0943ER-364760-04
CAREFIRST BCBS OF MD
—
01
—
0943SE-364760-04
CAREFIRST BCBS OF MD
—
05
—
329131602
—
MD
01
—
364760-04
BCBS
MD
01
—
404843
EVERCARE
—
01
—
9680-0041
CAREFIRST BCBS OF DC
—
01
—
P16087
MPOS
—
Enumeration date
07/07/2006
Last updated
07/16/2009
Update your record
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