Individual
DR. MARK E STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
109 CHURCH ST, O FALLON, MO 63366-2894
(636) 240-2225
(636) 281-5377
Mailing address
109 CHURCH ST, O FALLON, MO 63366-2894
(636) 240-2225
(636) 281-5377
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
MO005338
MO
Other
Enumeration date
05/04/2006
Last updated
11/30/2012
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