Provider Demographics
NPI:1275715880
Name:STUCKEY, CHAD J (MD)
Entity type:Individual
Prefix:
First Name:CHAD
Middle Name:J
Last Name:STUCKEY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3001 QUAIL SPRINGS PKWY FL 5
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-2640
Mailing Address - Country:US
Mailing Address - Phone:405-713-9930
Mailing Address - Fax:405-713-9931
Practice Address - Street 1:3366 NW EXPRESSWAY STE 200
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4416
Practice Address - Country:US
Practice Address - Phone:405-713-9930
Practice Address - Fax:405-713-9931
Is Sole Proprietor?:No
Enumeration Date:2007-12-05
Last Update Date:2024-10-22
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Provider Licenses
StateLicense IDTaxonomies
OK300732084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology