Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 42181 | AZ |
Y | 208600000X | Surgeon | 42181 | AZ |
N | 208200000X | Surgeon | P6284 | TX |
N | 208600000X | Surgeon | P6284 | TX |
NPI | 1013174762 |
---|---|
Provider Name | Dr. Chee-Chee Stucky |
First Address | Scottsdale, AZ 85259-5452 |
Second Address | Scottsdale, AZ 85259-5452 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2008 |
Last Update Date | 08/09/2020 |