Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY DEE STUCKI, DO
Active Sole ProprietorDR. JEFFREY DEE STUCKI, DO is a Orthopaedic Surgery of the Spine healthcare provider located in POCATELLO, Idaho. NPI 1083857536 is currently active in the NPPES registry. Verify at CMS.
Orthopaedic Surgery of the Spine · POCATELLO, ID
Registration Details
- NPI Number
- 1083857536
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 14, 2009 (17.37978348296 yrs)
- Last Updated
- Mar 29, 2018
- Licenses
-
58.001617 (OH)O-0574 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
444 HOSPITAL WAY STE 710POCATELLO, ID, 832012745Browse ID providers · Browse ZIP 83201
- Phone
- 2082344263
- Fax
- 2082334268
- Primary Specialty
-
Orthopaedic Surgery of the Spine
207XS0106X
- Additional Specialty
- Orthopaedic Surgery of the Spine
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.