Individual
DUSTIN JOSEPH STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
B.S., ATC
Contact information
Practice address
19 BARLEY LN, PALMYRA, PA 17078-3075
(717) 679-5376
Mailing address
19 BARLEY LN, PALMYRA, PA 17078-3075
(717) 679-5376
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000021763
PA
Other
Enumeration date
07/19/2015
Last updated
07/19/2015
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