Individual
SUSAN REBEKAH STUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2909
(479) 229-8000
(479) 477-3925
Mailing address
1652 STATE HIGHWAY 22 W, DARDANELLE, AR 72834-2909
(479) 229-8000
(479) 477-3925
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA-905
AR
Other
Enumeration date
02/14/2019
Last updated
04/06/2020
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