Individual
SARAH S PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
5308 HARROUN RD, SUITE 150, SYLVANIA, OH 43560-2193
(419) 824-5640
(419) 824-5744
Mailing address
1 SEAGATE STE 800, TOLEDO, OH 43604-1558
(419) 824-1444
(419) 824-1764
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
34007277
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000312387
ANTHEM
OH
01
—
04365
PARAMOUNT
OH
01
—
23-83916
UHC
OH
05
—
2408853
—
OH
01
—
363768152
TRICARE
OH
01
—
363768152-002
MMOH
OH
01
—
7325490
AETNA
OH
Enumeration date
07/26/2005
Last updated
11/03/2023
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