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Individual

DR. ZACHARY N STUCKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
3415 S 900 W, SALT LAKE CITY, UT 84119-4103
(801) 743-5549
Mailing address
1918 SUTTON COMMONS CIR, SALT LAKE CITY, UT 84121-1300
(801) 913-7584

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
7152759-1204
UT

Other

Enumeration date
11/12/2008
Last updated
12/20/2011
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