Individual
ANTHONY PAUL PUCKETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Mailing address
23505 SMITHTOWN RD STE 100, EXCELSIOR, MN 55331-4542
(952) 470-8555
(952) 401-8785
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6445
MN
Other
Enumeration date
02/07/2018
Last updated
02/07/2018
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