Individual
FRED SIMS STUCKY III
Active
Individual
FRED SIMS STUCKY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
00017567
AL
2086S0129X
Vascular Surgery Physician
Primary
MD27794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051514735
—
AL
05
—
126147
—
AL
01
—
511-11831
BCBS-AL
AL
01
—
51514735STU
BLUE CROSS BLUE SHIELD
AL
01
—
P00000016
MEDICARE RAILROAD
AL
Enumeration date
05/25/2006
Last updated
06/25/2024
Update your record
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