Individual
DR. JASON HUGH STUCKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 343-0931
(205) 758-3906
Mailing address
208 MCFARLAND CIR N, TUSCALOOSA, AL 35406-1800
(205) 343-0931
(205) 758-3906
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
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