Dr. Jeffrey Dee Stucki
Orthopaedic Surgeon Orthopaedic Hand Surgeon
444 Hospital Way Ste 710
Pocatello
, Idaho 83201-2745
Dr. Jeffrey Dee Stucki
Orthopaedic Surgeon Orthopaedic Hand Surgeon
444 Hospital Way Ste 710
Pocatello
, Idaho 83201-2745
(208) 233-4268
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About
Features
Specialties
- Orthopaedic Surgeon
- Orthopaedic Hand Surgeon
Languages spoken
- English
Location
First Address
- Dr. Jeffrey Dee Stucki
- 444 Hospital Way Ste 710
- Pocatello, ID
- Zip : 83201-2745
- Fax : (208) 233-4268
- Phone : (208) 235-4263
Second Address
- Dr. Jeffrey Dee Stucki
- 444 Hospital Way Ste 710
- Pocatello, ID
- Zip : 83201-2745
- Fax : (208) 233-4268
- Phone : (208) 234-4263
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207X00000X | Orthopaedic Surgeon | 58.001617 | OH |
| Y | 207XS0106X | Orthopaedic Hand Surgeon | O-0574 | ID |
National Provider Identifier
| NPI | 1083857536 |
|---|---|
| Provider Name | Dr. Jeffrey Dee Stucki |
| First Address | Pocatello, ID 83201-2745 |
| Second Address | Pocatello, ID 83201-2745 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/04/2009 |
| Last Update Date | 29/03/2018 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 20003824 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.