Individual
DR. JASON HUGH STUCKEY
Active
Individual
DR. JASON HUGH STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
28013
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135172
—
AL
01
—
28013
MEDICAL LICENSE
AL
01
—
511-22566
BLUE CROSS
AL
01
—
511-22579
BLUE CROSS
AL
01
—
631247115
AETNA
AL
01
—
P01110970
RRMC
AL
Enumeration date
05/18/2007
Last updated
09/01/2022
Update your record
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