Individual
MR. MARK TODD STUCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12 E 5TH AVE # 2253, SPOKANE, WA 99202-1309
(509) 242-2308
(509) 455-4988
Mailing address
12 E 5TH AVE # 2253, SPOKANE, WA 99202-1309
(509) 242-2308
(509) 455-4988
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60538209
WA
Other
Enumeration date
02/13/2018
Last updated
02/13/2018
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