Individual
DR. PATRICK STUCKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
303 W ALABAMA AVE, RUSTON, LA 71270-4265
(318) 255-8648
(318) 255-2328
Mailing address
303 W ALABAMA AVE, RUSTON, LA 71270-4265
(318) 255-8648
(318) 255-2328
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
4384
LA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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