Individual
DR. BRIAN STUCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1840 CANYON CREST DR, TWIN FALLS, ID 83301-3007
(208) 814-7100
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
MD.205693
LA
2084N0400X
Neurology Physician
Primary
M-16559
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588867477
NPI
VA
Enumeration date
06/07/2007
Last updated
05/18/2022
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