Individual
DR. WARREN J. STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
736 S 900 E STE 108, ST GEORGE, UT 84790-7002
(435) 628-3606
(435) 628-8404
Mailing address
736 S 900 E STE 108, ST GEORGE, UT 84790-7002
(435) 628-3606
(435) 628-8404
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
158544-1205
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000005217
HUMANA
UT
01
—
107007750101
IHC
UT
01
—
2578
PEHP
UT
01
—
340019514
RR MEDICARE
UT
01
—
35890
DMBA
UT
01
—
6411882
CIGNA
UT
01
—
870562879ST1
EMIA
UT
01
—
QM0000076518
ALTIUS
UT
Enumeration date
06/16/2005
Last updated
04/19/2012
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